Mindful Connections Therapy, Corp.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15113 Issued in FL

Legal business name

MINDFUL CONNECTIONS THERAPY, CORP.

Practice address

624 SW 34 Avenue
Homestead, FL 33033-7687

Phone

(786) 246-4987

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Gisselle Carolina Villanueva, MS, OTR/L

Title

President

Phone

(786) 246-4987

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1902347966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SW 34 AVENUE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337687",
            "telephone_number": "786-246-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SW 34 AVENUE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337687",
            "telephone_number": "786-246-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS THERAPY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-246-4987",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004725700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daymaris Millan
• Bridgett Ann Miller Dixon
• Jessalyn Hannah Miller, LMHC
• Bayen Milligan
• Milton Bengoa MD PA
• Mindtra LLC
• Jacqueline Minot
• Kolaet S Mintze, LCSW
• Alicia Mirabal Pallerols
• Madelin Mirabal Plasencia

• Occupational Therapist in Homestead, FL
• Providers in Homestead, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.