Mind Wellness LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME113267 Issued in FL

Legal business name

MIND WELLNESS LLC

Practice address

901 Venetia Bay Blvd
Suite 220
Venice, FL 34285-8041

Phone

(941) 313-5583

Fax

(941) 296-8552

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gleydys Salgado Cardoso, MD

Title

Medical Director

Phone

(941) 313-5583

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1609276203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD",
            "address_2": "SUITE 220",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858041",
            "telephone_number": "941-313-5583",
            "fax_number": "941-296-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VENETIA BAY BLVD",
            "address_2": "SUITE 220",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858041",
            "telephone_number": "941-313-5583",
            "fax_number": "941-296-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SALGADO CARDOSO",
        "authorized_official_first_name": "GLEYDYS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-313-5583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME113267",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME113267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Miller, DO
• Sunny Miller
• Tracey Reynee Miller, PTA
• Lauren Taylor Milligan, AP
• Savannah Mills Wiersma
• Jonida Miraka
• Richard J Miron, DDS, MSC, PHD
• Amanda R Mitchell, PT, DPT
• Lona K Mitchell
• Nasstasia M. Mitchell, BS

• Child & Adolescent Psychiatry Physician in Venice, FL
• Providers in Venice, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.