Matters of the Mind Body & Spirit LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MATTERS OF THE MIND BODY & SPIRIT LLC

Practice address

2 Oak Street
Suite 205
Mashpee, MA 02649

Phone

(508) 454-5703

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Balboni-FarhadiNPI 1275693632

Title

Owner

Phone

(508) 454-5703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ann Balboni Farhadi, LCSW

  • Clinical Social Worker
  • Plymouth, MA
  • NPI 1275693632
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1588019392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAK STREET",
            "address_2": "SUITE 205",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-454-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTERS OF THE MIND BODY & SPIRIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "BALBONI-FARHADI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-454-5703"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mashpee Orthodontics, PC
• Mashpee Service Unit /Indian Health Service (Mashpee Service Unit Pharmacy /Indian Health Service)
• Mashpee Service Unit/Indian Health Service
• Mashpee Vision Care (B Lynne Grove OD)
• Casey Masi, AU.D.
• Kara M McAuliffe, P.T.
• Allegra P McElroy, RN FNP
• Beatriz McGillicuddy
• Kristina Marie McGrath, LPN
• K. Robert McIntire, M.D.

• Mental Health Counselor in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.