INTEGRATED MIND MEDICINE


Address: 1946 Tyler St, Suite 14, Hollywood, FL 33020-4517
Phone: 7542105359

INTEGRATED MIND MEDICINE (NPI# 1730575549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730575549
Entity Type Organization
Organization Name INTEGRATED MIND MEDICINE
Practice Address 1946 Tyler St
Suite 14
Hollywood
FL 33020-4517
Practice Telephone 7542105359
Practice Fax Number 7542105363
Mailing Telephone 7542105359
Mailing Fax Number 7542105363
Enumeration Date 2015-04-08
Last Update Date 2015-04-08
Authorized Official Name MENCIA GOMEZ (MD)
Authorized Official Telephone 7542105359
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
ME121955 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1946 TYLER ST
SUITE 14
City HOLLYWOOD
State FL
Zip Code 33020-4517

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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902198864 Alfredo Bolasini Psychiatry & Neurology 4040 N Hills Dr, Suite 32, Hollywood, FL 33021-2464 2011-05-11
1629211560 Yves S Eveillard Psychiatry & Neurology 3420 Nw 91st Ave, Hollywood, FL 33024-8178 2009-04-08
1124201421 Ramsey Kay Pevsner Pa Psychiatry & Neurology 301 Desoto St, Hollywood, FL 33019-4519 2007-12-10
1326163775 Barnell Phillips IIi Psychiatry & Neurology 3400 N. 29th Avenue, Hollywood, FL 33020 2007-03-21
1558493445 Richard Wender Levin Psychiatry & Neurology 3810 Hollywood Blvd, #2, Hollywood, FL 33021 2007-03-09
1932298767 Gary S Magid Psychiatry & Neurology 4740 N 37th St, Hollywood, FL 33021-2237 2006-10-12
1144243221 Thomas Henry Macaluso Psychiatry & Neurology 4600 Sheridan St, Suite 400, Hollywood, FL 33021-3409 2006-07-26
1356387617 Arnold Stanley Zager Psychiatry & Neurology 3810 Hollywood Boulevard, Suite 2, Hollywood, FL 33021-6730 2006-06-22
1679511505 Jorge Luis Sotelo Psychiatry & Neurology 3501 Johnson St Fl 2, Hollywood, FL 33021-5421 2006-06-03
1609827641 Arun Kumar Somani Psychiatry & Neurology 9700 Stirling Rd Ste 104, Hollywood, FL 33024-8011 2006-05-15
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Competitor

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City HOLLYWOOD
Zip Code 33020

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Dataset Information

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.

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