Mark Ira Minson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY3478 Issued in FL

Practice address

4710 NW 2ND Ave
Boca Raton, FL 33431-4879

Phone

(561) 999-9890

Fax

(561) 999-9454

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Minson PHD, PA

  • Adult Mental Health Clinic/Center
  • Boca Raton, FL
  • NPI 1760745459
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518051069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 NW 2ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314879",
            "telephone_number": "561-999-9890",
            "fax_number": "561-999-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 NW 2ND AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314879",
            "telephone_number": "561-999-9890",
            "fax_number": "561-999-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSON",
        "first_name": "MARK",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E. Minett, D.C.
• Mini Speeches Hopes, Inc
• Anthony Miniaci, MD
• Carol H. Minkin, M.A.
• Minkoffsportsopedic Associates P.a.
• Mira Women'S Health and Midwifery
• Monica Mirabal Plasencia
• Nathalie Mirabent-Alvarez, MD
• Miracle-Ear, Inc.
• Sofia Miranda-Pasqualini

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.