Peace of Mind Recovery Center Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PEACE OF MIND RECOVERY CENTER INC.

Practice address

4410 W Oakland Park Blvd
Lauderdale Lakes, FL 33313

Phone

(954) 488-9202

Fax

(954) 488-9172

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Kishma Victor, DR

Title

Ceo

Phone

(954) 488-9202

Specialties & licenses 1

Addresses

Tax ID family

Peace of Mind Recovery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peace of Mind Recovery Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lauderdale Lakes, FL
  • NPI 1114454691
  NPD tax ID

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992221352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131819",
            "telephone_number": "954-488-9202",
            "fax_number": "954-488-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W OAKLAND PARK BLVD",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-488-9202",
            "fax_number": "954-488-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "KISHMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-488-9202",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Locke, LCSW, Cap, PA (Total Intervention Early Services (TIES))
• John Damon Pavlus, M.D.
• Chanda Payoute
• PCP of Lauderdale LKS
• Peace of Mind Recovery Center Inc.
• Pediatric Associates PSN LLC
• Emmane Pemberton, MSW
• Hereward Pennycooke
• Clare M Pereira, ARNP
• Bruce Alan Perlman, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.