Healthy Minds Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEALTHY MINDS PSYCHOLOGICAL SERVICES, LLC

Practice address

825 Kalli Creek Lane
Saint Augustine, FL 32080

Phone

(785) 292-9234

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christina C Stauble, PSY.D

Title

Owner

Phone

(785) 292-9234

Specialties & licenses 1

Addresses

Other names 1

• Healthy Minds Psychological Services Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina D Carty, PSY.D

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1467633701
  NPD

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1659991925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SEA GROVE MAIN ST#840133",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807743",
            "telephone_number": "785-292-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 KALLI CREEK LANE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "785-292-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "STAUBLE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-292-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Minds Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Healing Hive PLLC
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• Health Park Podiatric Foot and Ankle Clinic, Inc
• Healthcare Properties of St Augustine Inc
• Heart Center of Saint Augustine, PA
• Kirsten Heath, PT, DPT
• Randolph W Heath, PA-C
• Hebbler Rehabilitation, Inc.
• George Paul Hebbler III, PT, DPT

• Clinical Psychologist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.