MARK MINSON PHD, PA (NPI# 1760745459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760745459 |
| Entity Type | Organization |
| Organization Name | MARK MINSON PHD, PA |
| Practice Address |
4710 Nw 2nd Ave Suite 104 Boca Raton FL 33431-4879 |
| Practice Telephone | 5619999890 |
| Practice Fax Number | 5619999454 |
| Mailing Telephone | 5619999890 |
| Mailing Fax Number | 5619999454 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | MARK I MINSON (OWNER) |
| Authorized Official Telephone | 5619999890 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY3478 | FL | Ambulatory Health Care Facilities |
| Street Address |
4710 NW 2ND AVE SUITE 104 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518051069 | Mark Ira Minson | Psychologist | 4710 Nw 2nd Ave, Boca Raton, FL 33431-4879 | 2006-10-02 |
| 1750621413 | Susan Bernadette Gallagher-ross | Psychologist | 4710 Nw 2nd Ave, Suite# 104, Boca Raton, FL 33431-4155 | 2013-02-18 |
| 1871752709 | Rita Lee Ander | Social Worker | 4710 Nw 2nd Ave, Suite 104, Boca Raton, FL 33431-4861 | 2008-06-05 |
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| Find all providers in zip 33431 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1104068352 | Elizabeth H. Faulk Foundation, Inc. | Clinic/Center | 22455 Boca Rio Rd, Boca Raton, FL 33433-4708 | 2009-04-02 |
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| 1477827848 | Cynthia Last Rubin, Phd, Pa | Clinic/Center | 2499 Glades Rd, Boca Raton, FL 33431-7209 | 2012-03-02 |
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| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
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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.