Organization Active NPI

Divine Minds Mystic Healing Center

  • Religious Nonmedical Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1942899240
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
Legal business name
DIVINE MINDS MYSTIC HEALING CENTER
Practice address
11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone
(954) 857-8479
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Denise Y MelendezNPI 1780259127
Title
VP
Phone
(954) 857-8479

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
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X Primary

Addresses

Primary practice location

11 Palm Ave
Hallandale Beach, FL 33009-6430

Mailing address

11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone (954) 857-8479

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1942899240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-857-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-857-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MINDS MYSTIC HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-857-8479"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.