NPIMap

Organization Active NPI

Mindy Staum

  • Preferred Provider Organization
  • Coral Springs, FL
National Provider Identifier
1639405533
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ISW4315 Issued in FL
Legal business name
MINDY STAUM
Practice address
5365 NW 102ND Ave
Coral Springs, FL 33076-1788
Phone
(954) 464-1393
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mindy Staum, MSW
Title
Social Worker
Phone
(954) 464-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X ISW4315 FL Primary

Addresses

Primary practice location

5365 NW 102ND Ave
Coral Springs, FL 33076-1788

Mailing address

5365 NW 102ND Ave
Coral Springs, FL 33076-1788
Phone (954) 464-1393

National Provider Directory

National Provider Directory
Tax ID family
Friends of Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1639405533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 NW 102ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761788",
            "telephone_number": "954-464-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 NW 102ND AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761788",
            "telephone_number": "954-464-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY STAUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "STAUM",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "954-464-1393",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ISW4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.