NPIMap

Organization Active NPI

Mindspa, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boynton Beach, FL
National Provider Identifier
1811639743
Registry record updated Aug 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDSPA, LLC
Practice address
3469 W Boynton Beach Blvd Ste 18
Boynton Beach, FL 33436-4639
Phone
(561) 576-9404
Fax
(561) 493-3483
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2023

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

Authorized official

Name
Marie Lennox, APRN, DNPNPI 1952923245
Title
Owner
Phone
(561) 576-9404

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3469 W Boynton Beach Blvd Ste 18
Boynton Beach, FL 33436-4639

Mailing address

3469 W Boynton Beach Blvd Ste 18
Boynton Beach, FL 33436-4639
Phone (561) 576-9404

Other names 1

  • MindSpa, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1375 Gateway Blvd
Ste 590
Boynton Beach, FL 33426

3469 W Boynton Beach Blvd
Ste 18
Boynton Beach, FL 33436
Phone (561) 576-9404

Practitioners & affiliated clinicians

Practitioners 4

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691193600000",
    "number": "1811639743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD STE 18",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364639",
            "telephone_number": "561-576-9404",
            "fax_number": "561-493-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD STE 18",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364639",
            "telephone_number": "561-576-9404",
            "fax_number": "561-493-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "LENNOX",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-576-9404",
        "authorized_official_credential": "APRN, DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindSpa, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

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