| Mindset Behavioral Clinic | |
|
1111 Se Federal Hwy Ste 130 Stuart FL 34994-3802 | |
| (404) 304-5002 | |
| Not Available |
| Full Name | Mindset Behavioral Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1111 Se Federal Hwy Ste 130, Stuart, Florida |
| Authorized Official Name and Position | Akinboyede Akinyemi (OWNER) |
| Authorized Official Contact | 7728882109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Behavioral Clinic 1111 Se Federal Hwy Ste 130 Stuart FL 34994-3802 Ph: (772) 888-2109 | Mindset Behavioral Clinic 1111 Se Federal Hwy Ste 130 Stuart FL 34994-3802 Ph: (404) 304-5002 |
| NPI Number | 1518597798 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 5496184616 |
|---|---|
| Medicare Enrollment ID | O20200408004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518597798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Akinboyede Eniola Akinyemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497149793 PECOS PAC ID: 0042503922 Enrollment ID: I20200408004199 |
| Provider Name | Patricia Brown-gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912591223 PECOS PAC ID: 8527467372 Enrollment ID: I20210527000092 |
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