Active NPI
Mindfree Therapy Center LLC
- Psychiatric Residential Treatment Facility
- West Palm Beach, FL
National Provider Identifier
1710610456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MINDFREE THERAPY CENTER LLC
- Practice address
- 7001 S Dixie Hwy
West Palm Beach, FL 33405-4803 - Phone
- (855) 740-1181
- NPI assigned
- Jul 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandan Freeman
- Title
- Coo
- Phone
- (855) 740-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
7001 S Dixie Hwy
West Palm Beach, FL 33405-4803
Mailing address
2636 Old Okeechobee Rd
West Palm Beach, FL 33409-4129
Phone (855) 740-1181
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2285527 | Mindfree Therapy Center LLC | Certificate of waiver | Jul 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
2636 Old Okeechobee Rd
West Palm Beach, FL 33409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657238400000",
"number": "1710610456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2636 OLD OKEECHOBEE RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334094129",
"telephone_number": "855-740-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 S DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334054803",
"telephone_number": "855-740-1181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFREE THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "BRANDAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "855-740-1181",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.