Cynthia L Theiss MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CYNTHIA L THEISS MD PA

Practice address

5606 Pga Blvd Ste 113
Palm Beach Gardens, FL 33418-4122

Phone

(561) 296-3211

Fax

(516) 296-3212

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia L. Theiss, M.D.NPI 1598821845

Title

Owner

Phone

(561) 296-3211

Specialties & licenses 2

Addresses

Other names 1

• Mind Matters Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Cynthia L. Theiss, M.D.

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1598821845
  Medicare reassignment NPD Authorized official
• Shelley Anne Dodt, LCSW

  • Clinical Social Worker
  • Palm City, FL
  • NPI 1134690217

  Single Specialty

  NPD (past)
• Karla Joan Hall, APRN, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Beach Gardens, FL
  • NPI 1063214336
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1962760751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 PGA BLVD STE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184122",
            "telephone_number": "561-296-3211",
            "fax_number": "561-296-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 PGA BLVD STE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184122",
            "telephone_number": "561-296-3211",
            "fax_number": "516-296-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L THEISS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "THEISS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-296-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Custureri
• Frank Victor Custureri, MD
• Christopher Cutolo
• Mekhail Cuvin
• Cynthia Kretschmer, LLC
• D. Bethel Counseling LLC
• Dulce Da Costa, LCSW
• Daria D Dabrowska
• Rochelle Lotoya Dahl, AS
• Ran Dai, M.D.

• Psychiatry Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.