Organization Active NPI

Lucid Minds

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1740979533
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LUCID MINDS
Practice address
1110 Brickell Ave Ste 407
Miami, FL 33131-3135
Phone
(786) 558-4526
Fax
(844) 364-7241
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Mayra Burguera, PSYDNPI 1659891992
Title
Psychologist
Phone
(786) 558-4526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1110 Brickell Ave Ste 407
Miami, FL 33131-3135

Mailing address

1110 Brickell Ave Ste 407
Miami, FL 33131-3135
Phone (786) 558-4526

National Provider Directory

National Provider Directory
Tax ID family
Lucid Minds2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1740979533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313135",
            "telephone_number": "786-558-4526",
            "fax_number": "844-364-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313135",
            "telephone_number": "786-558-4526",
            "fax_number": "844-364-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "BURGUERA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "786-558-4526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.