Health in Mind LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5957 Issued in FL

Legal business name

HEALTH IN MIND LLC

Practice address

73 S Palm Ave Ste 215
Sarasota, FL 34236-5612

Phone

(941) 320-0501

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessie Williams, PHD

Title

Owner

Phone

(941) 320-0501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1801131354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 ALAMEDA AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348341",
            "telephone_number": "941-320-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE STE 215",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365612",
            "telephone_number": "941-320-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IN MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-320-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.