MINDBODY INTEGRATED (NPI# 1225340789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225340789 |
| Entity Type | Organization |
| Organization Name | MINDBODY INTEGRATED |
| Practice Address |
2204 S Parsons Ave Seffner FL 33584-5212 |
| Mailing Address |
809 E Bloomingdale Ave Pmb # 377 Brandon FL 33511-8113 |
| Practice Telephone | 8136843222 |
| Practice Fax Number | 8134642787 |
| Mailing Telephone | 8136503239 |
| Mailing Fax Number | 8134642787 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | MAULIK TRIVEDI (PRESIDENT) |
| Authorized Official Telephone | 8136503239 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME 84208 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME 84208 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265223400 | 05 |
| Street Address |
2204 S PARSONS AVE |
| City | SEFFNER |
| State | FL |
| Zip Code | 33584-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699835686 | Ashvin Shingala | Internal Medicine | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2006-12-11 |
| 1992118988 | Omprakash Pansara | Family Medicine | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2014-06-06 |
| 1790055457 | Bay Area Advance Gastroenterology Care Inc | Internal Medicine | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2012-01-11 |
| 1407088685 | Chitra Reddy | Podiatrist | 2204 S Parsons Ave, 805, Seffner, FL 33584-5212 | 2009-08-20 |
| 1194909911 | Mark A Hayes Psy D Pa | Psychologist | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2007-12-28 |
| 1104969385 | Mark A Hayes | Psychologist | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2007-02-15 |
| 1215080403 | Patel & Gedia Medical Associates Pa | Internal Medicine | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2007-01-19 |
| 1487714481 | Lakhabhai D Gedia | Internal Medicine | 2204 S Parsons Ave, Seffner, FL 33584-5212 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555442 | Dipal Surendra Desai | Pharmacist | 11720 Dr Martin Luther King Boulevard, Seffner, FL 33584 | 2019-03-01 |
| 1508395997 | Patricia R Philbert | Clinic/Center | 311 Carriage Oak Place, Seffner, FL 33584 | 2017-06-08 |
| 1225584824 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 11782 E Dr. Mlk Jr. Blvd, Seffner, FL 33584 | 2016-09-01 |
| 1023564903 | Georges Raffoul | Dentist | 2744 South Florida Ave, Lakeland, FL 33584 | 2016-08-30 |
| 1407302771 | Ashari Taylor | Physical Therapy Assistant | 11754 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2016-08-28 |
| 1235547043 | Foot & Ankle of Tampa Bay, Pllc | Podiatrist | 2204 S. Parson Ave, Seffner, FL 33584 | 2014-07-24 |
| 1205108990 | Brenda Thuy Dang-nguyen | Pharmacist | 11115 E Dr Mlk Jr Blvd, Seffner, FL 33584 | 2012-01-27 |
| 1205106895 | Joy Aclan | Pharmacist | 11115 E Dr. Martin Luther King Jr Blvd, Seffner, FL 33584 | 2012-01-12 |
| 1366748659 | Sarah Marilyn Ball | Massage Therapist | 2027 S. Parsons Ave., Seffner, FL 33584 | 2011-02-03 |
| 1386814366 | Total Orthopedic Rehabilitation, Inc | Chiropractor | 1115 Dr Martin Luther King Junior Blvd, Seffner, FL 33584 | 2008-03-06 |
| Find all providers in zip 33584 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.