MINDWORKS INTEGRATIVE PSYCHOLOGY, LLC (NPI# 1528683364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528683364 |
| Entity Type | Organization |
| Organization Name | MINDWORKS INTEGRATIVE PSYCHOLOGY, LLC |
| Practice Address |
8461 Lake Worth Rd Ste 113 Lake Worth FL 33467-2474 |
| Practice Telephone | 5612234111 |
| Mailing Telephone | 5612234111 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | DR. TIMOTHY EAGAN (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 5612234111 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
8461 LAKE WORTH RD STE 113 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347401 | Bruce Eimer, Phd, LLC | Psychologist | 7546 Pebble Shores Ter, Lake Worth, FL 33467-6910 | 2020-05-08 |
| 1639715857 | Ruecare Pllc | Psychologist | 6274 Breckenridge Cir, Lake Worth, FL 33467-6821 | 2019-11-22 |
| 1386946374 | Elizabeth B Hooper | Psychologist | 4908 Lombard Pass Dr, Lake Worth, FL 33463-7461 | 2010-11-23 |
| 1376736884 | Laura Marullo | Psychologist | 7433 Ansley Dr, Lake Worth, FL 33467-7708 | 2007-08-20 |
| 1518971126 | Lisa Ann Schwellinger | Psychologist | 7227 Windy Preserve, Lake Worth, FL 33467-7243 | 2006-07-28 |
| 1821025727 | Victor P Pascale | Psychologist | 9744 Wood Pine Ct, Lake Worth, FL 33467-2340 | 2006-06-27 |
| 1174569487 | Robert G. Riedel | Psychologist | 7830 Belmont Dr, Lake Worth, FL 33467-7828 | 2006-06-22 |
| 1831132703 | Raul Diaz | Psychologist | 3865 10th Ave N, Lake Worth, FL 33461-2853 | 2006-06-14 |
| 1417432741 | Erin Elizabeth Lawson | Psychologist | 8461 Lake Worth Rd Ste 234, Lake Worth, FL 33467-2474 | 2018-10-02 |
| 1356876122 | Psybridge, LLC | Psychologist | 8401 Lake Worth Rd, Lake Worth, FL 33467-2400 | 2017-04-28 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on MINDWORKS INTEGRATIVE PSYCHOLOGY, LLC.
| 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.