Organization Active NPI

Mindbody and Harmony Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yalaha, FL
National Provider Identifier
1982420568
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDBODY AND HARMONY HEALTH LLC
Practice address
8222 County Road 48
Yalaha, FL 34797-3168
Phone
(352) 636-5862
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Amanda McCormackNPI 1730575143
Title
Owner
Phone
(352) 636-5862

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

8222 County Road 48
Yalaha, FL 34797-3168

Mailing address

8222 County Road 48
Yalaha, FL 34797-3168
Phone (352) 636-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422001946 FL Part B Supplier - Clinic/Group Practice 1759806862 Receives reassigned benefits from 1 practitioner
Practice locations: Yalaha, FL

National Provider Directory

National Provider Directory

Locations

8222 County Road 48
Yalaha, FL 34797
Phone (352) 217-4188

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": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1982420568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 COUNTY ROAD 48",
            "city": "YALAHA",
            "state": "FL",
            "postal_code": "347973168",
            "telephone_number": "352-636-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 COUNTY ROAD 48",
            "city": "YALAHA",
            "state": "FL",
            "postal_code": "347973168",
            "telephone_number": "352-636-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBODY AND HARMONY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-636-5862"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yalaha, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.