Intrinsic Minds LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INTRINSIC MINDS LLC

Practice address

4100 Silverstone Dr
Fort Pierce, FL 34947-1338

Phone

(954) 410-9099

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Evan Flynn

Title

Owner/Manager

Phone

(954) 410-9099

Specialties & licenses 1

Addresses

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": "1801529565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SILVERSTONE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471338",
            "telephone_number": "954-410-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SILVERSTONE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349471338",
            "telephone_number": "954-410-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRINSIC MINDS 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": "FLYNN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "954-410-9099"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.