NPIMap

Organization Active NPI

Mind Body Therapy Studio

  • Clinical Social Worker
  • Davie, FL
National Provider Identifier
1770390528
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND BODY THERAPY STUDIO
Practice address
4801 S University Dr Ste 254
Davie, FL 33328-3836
Phone
(786) 408-5052
NPI assigned
Dec 16, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Dr. Tatiana Scharr, LCSWNPI 1548948615
Title
Therapist
Phone
(786) 408-5052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4801 S University Dr Ste 254
Davie, FL 33328-3836

Mailing address

4801 S University Dr Ste 254
Davie, FL 33328-3836
Phone (786) 408-5052

National Provider Directory

National Provider Directory

Locations

4801 S University Dr
Ste 254
Davie, FL 33328
Phone (786) 408-5052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1770390528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 254",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283836",
            "telephone_number": "786-408-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 254",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283836",
            "telephone_number": "786-408-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY THERAPY STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHARR",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "786-408-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.