Organization Active NPI

Mindfree Therapy Center LLC

  • Psychiatric Residential Treatment Facility
  • West Palm Beach, FL
National Provider Identifier
1710610456
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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

Updated by the provider on Jul 8, 2022

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2285527Mindfree Therapy Center LLC7001 S Dixie Hwy, West Palm Beach, FL 33405Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.