NPIMap

Organization Active NPI

Evolving Minds Together LLC

  • Community/Behavioral Health Agency
  • Parkland, FL
National Provider Identifier
1851744692
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11621969 Issued in FL
Legal business name
EVOLVING MINDS TOGETHER LLC
Practice address
7896 NW 110TH Dr
Parkland, FL 33076-4721
Phone
(954) 668-9859
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Maria Patricia Caruso, MS, BCBANPI 1275943748
Title
Owner
Phone
(954) 668-9859

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
Community/Behavioral Health Agency 251S00000X 11621969 FL Primary

Addresses

Primary practice location

7896 NW 110TH Dr
Parkland, FL 33076-4721

Mailing address

17773 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone (954) 668-9859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 120

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

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1851744692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17773 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-668-9859",
            "fax_number": "954-301-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7896 NW 110TH DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764721",
            "telephone_number": "954-668-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING MINDS TOGETHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-668-9859",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11621969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.