Organization Active NPI

Clear Mind Clinic

  • Addiction Psychiatry Physician
  • Miami, FL
National Provider Identifier
1861810046
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
ME91244 Issued in FL
Legal business name
CLEAR MIND CLINIC
Practice address
1395 Brickell Ave
800
Miami, FL 33131-3353
Phone
(305) 733-7329
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Mark Laty
Title
M.D/Owner
Phone
(305) 733-7329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X ME91244 FL Primary

Addresses

Primary practice location

1395 Brickell Ave
800
Miami, FL 33131-3353

Mailing address

1395 Brickell Ave
800
Miami, FL 33131-3353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1861810046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 BRICKELL AVE",
            "address_2": "800",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 BRICKELL AVE",
            "address_2": "800",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313353",
            "telephone_number": "305-733-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "LATY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "M.D/OWNER",
        "authorized_official_telephone_number": "305-733-7329"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME91244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.