Mark Minson PHD, PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY3478 Issued in FL

Legal business name

MARK MINSON PHD, PA

Practice address

4710 NW 2ND Ave
Suite 104
Boca Raton, FL 33431-4879

Phone

(561) 999-9890

Fax

(561) 999-9454

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Mark I Minson, PHDNPI 1518051069

Title

Owner

Phone

(561) 999-9890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Mark Ira Minson, PHD

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1518051069
  Medicare reassignment NPD Authorized official
• Susan Bernadette Gallagher-Ross, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1750621413
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1760745459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 NW 2ND AVE",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314879",
            "telephone_number": "561-999-9890",
            "fax_number": "561-999-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 NW 2ND AVE",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314879",
            "telephone_number": "561-999-9890",
            "fax_number": "561-999-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MINSON PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MINSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-999-9890",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Ruiz
• Mark a Adduci PA
• Mark Adelman MD PA & Kenneth M Baron MD PA Pulmonary Associates
• Mark Levinsky LMHC LLC
• Mark M S Khilnani MD PC
• Mark S Block DPM PA
• Mark S. Denker M.D. PA Inc.
• Pamela N Markham, PSYD
• Alan Zvi Markowitz, DMD
• Stuart Laurence Markowitz, M.D.

• Adult Mental Health Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.