Mastering Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MASTERING MENTAL HEALTH LLC

Practice address

25054 Lambrusco Loop
Lutz, FL 33559-1806

Phone

(813) 400-3645

Fax

(813) 358-9146

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Da'Twan Laurice Mathis, APRNNPI 1346973187

Title

Owner

Phone

(813) 420-7361

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Da'Twan Laurice Mathis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1346973187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1831954387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25054 LAMBRUSCO LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335591806",
            "telephone_number": "813-400-3645",
            "fax_number": "813-358-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25054 LAMBRUSCO LOOP",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335591806",
            "telephone_number": "813-400-3645",
            "fax_number": "813-358-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERING MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "DA'TWAN",
        "authorized_official_middle_name": "LAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-420-7361",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.