Mind Body Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4716 Issued in FL

Legal business name

MIND BODY ASSOCIATES, INC.

Practice address

1869 Porter Lake Dr
Sarasota, FL 34240-7893

Phone

(941) 377-8111

Fax

(941) 377-8778

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Julie M Simons, LCSWNPI 1538179676

Title

President

Phone

(941) 377-8111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Julie Simons, LCSW

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1538179676
  NPD (past) Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1689864571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 FRUITVILLE RD # 150",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326403",
            "telephone_number": "941-377-8111",
            "fax_number": "941-377-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 PORTER LAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342407893",
            "telephone_number": "941-377-8111",
            "fax_number": "941-377-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-377-8111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C. Millin Jr., D.O.
• Ashley Mills, M.S., CCC-SLP
• Jaime Noelle Mills, PA-C
• Nicole Mills, PTA
• Julia Nicole Mincho
• Mindful Psychiatric Services LLC
• Leonard J Mindlin, MD
• Mindset Is Key Virtual Mental Wellness LLC
• Mindsol Wellness Center LLC
• Janet Lee Minella, MD

• Community/Behavioral Health Agency in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.