Organization Active NPI

Total Mind Solutions of Florida

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1962005900
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TOTAL MIND SOLUTIONS OF FLORIDA
Practice address
4745 Old Highway 37 Ste 1
Lakeland, FL 33813-2031
Phone
(863) 860-0531
Fax
(863) 333-0550
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Julia M Borum, LMHCNPI 1629306832
Title
Owner
Phone
(863) 860-0531

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4745 Old Highway 37 Ste 1
Lakeland, FL 33813-2031

Mailing address

4745 Old Highway 37 Ste 1
Lakeland, FL 33813-2031
Phone (863) 333-0550

National Provider Directory

National Provider Directory

Locations

4745 Old Highway 37
Ste 1
Lakeland, FL 33813
Phone (863) 860-0531

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1962005900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 OLD HIGHWAY 37 STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132031",
            "telephone_number": "863-333-0550",
            "fax_number": "863-333-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OLD HIGHWAY 37 STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132031",
            "telephone_number": "863-860-0531",
            "fax_number": "863-333-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MIND SOLUTIONS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "BORUM",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-860-0531",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.