Organization Active NPI

Clear Minds Therapy LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1922708155
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CLEAR MINDS THERAPY LLC
Practice address
31 Tamiami Canal Rd
Miami, FL 33144-2538
Phone
(786) 543-0310
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dariem Bermudez
Title
Owner
Phone
(786) 543-0310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

31 Tamiami Canal Rd
Miami, FL 33144-2538

Mailing address

19063 SW 135TH Ave
Miami, FL 33177-7170

National Provider Directory

National Provider Directory

Locations

31 Tamiami Canal Rd
Ste 2
Miami, FL 33144

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1922708155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19063 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TAMIAMI CANAL RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442538",
            "telephone_number": "786-543-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "DARIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-543-0310"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Jun 20, 2024; 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.