Positive Mindset Group

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

POSITIVE MINDSET GROUP

Practice address

4735 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400

Phone

(321) 257-3960

Fax

(407) 604-7677

NPI assigned

May 5, 2020

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tania I Marrero-Santiago, PSYD

Title

Ceo

Phone

(321) 257-3960

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Positive Mindset Group LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

• Calix O Diaz, PSY.D.

  • Clinical Psychologist
  • Saint Cloud, FL
  • NPI 1255736609
  Medicare reassignment Care Compare group
• Tania I Marrero, PSYD

  • Clinical Psychologist
  • Saint Cloud, FL
  • NPI 1154668861
  Medicare reassignment Care Compare group
• Ivelisse Nieves, LMHC

  • Mental Health Counselor
  • Saint Cloud, FL
  • NPI 1760979306
  Medicare reassignment NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1982225595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "321-257-3960",
            "fax_number": "407-604-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OLD CANOE CREEK RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691400",
            "telephone_number": "321-257-3960",
            "fax_number": "407-604-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Ave Ponce De Leon Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009171253",
            "country_code": "US",
            "telephone_number": "787-674-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE MINDSET GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "MARRERO-SANTIAGO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-257-3960",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102316900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14356948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Mindset Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Positive Mindset Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Victor Anthony Politano Jr., D.O.
• Rony Ponce
• Arion Pope
• Helen Portalatin de Vargas
• Laura Mavelyn Portorreal
• Ann Elizabeth Powers
• Charles Powers, M.D.
• Lakin Pratt, RBT
• Precision Surgicenter of Saint Cloud
• Premier Endocrinology PLLC

• Clinical Psychologist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.