Mindful Behavioral Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MINDFUL BEHAVIORAL HEALTH PLLC

Practice address

2201 NW Corporate Blvd
Suite 202
Boca Raton, FL 33431-7337

Phone

(561) 499-6933

Fax

(561) 235-5172

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ivan E Cichowicz, M.D.NPI 1932312840

Title

Medical Director

Phone

(561) 499-6933

Specialties & licenses 1

Addresses

Other names 1

• Mindful Behavioral Health Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Ivan Eduardo Cichowicz, M.D.

  • Geriatric Psychiatry Physician
  • Boca Raton, FL
  • NPI 1932312840
  Medicare reassignment Care Compare group NPD Authorized official
• Gretchen Marie Garcia, MD

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1609089093
  Medicare reassignment Care Compare group NPD
• Marc David Weiss, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1467665091
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1992133946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-499-6933",
            "fax_number": "561-235-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-499-6933",
            "fax_number": "561-235-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CICHOWICZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-499-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ainara Mina
• Mind Care Inc.
• Mind Soul Wellness of Florida
• Mind to Heart Behavior Health Corp
• Mind Wealth LLC
• Mindful Counseling, Inc.
• Mindful Medicine LLC (Sanctuary Healthcare)
• Mindful Sprouts LLC (Eunoia Care)
• Mindful Sprouts LLC
• Mindfull Healing Therapy LLC

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.