Mindy Basis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6186 Issued in FL

Practice address

5476 Enclave Crossing Way
T1
Delray Beach, FL 33484-8802

Phone

(561) 674-9124

Fax

(212) 658-9488

NPI assigned

Mar 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All Aboard Therapy LLC

  • Speech-Language Pathologist
  • Delray Beach, FL
  • NPI 1912235342
  NPD (past)

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1578887170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5476 ENCLAVE CROSSING WAY",
            "address_2": "T1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848802",
            "telephone_number": "561-674-9124",
            "fax_number": "212-658-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5476 ENCLAVE CROSSING WAY",
            "address_2": "T1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848802",
            "telephone_number": "561-674-9124",
            "fax_number": "212-658-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASIS",
        "first_name": "MINDY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886533700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry S Kessler MD PA
• Barry Seidman MD
• Najae Bartley
• Jenna Marie Barton, MS
• Shahida Bashir, MD
• Susan Rae Baskin, M.D.
• Natalie B Basna, LMHC
• Marcele T Bassett Sr.
• Milo Bastianelli, DO
• Lazaro Enrique Batista Gonzalez

• Speech-Language Pathologist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.