NPI Code Detail JSON Logo

1083043830 NPI number — INDIHEARTANDMIND INC

NPI Number: 1083043830
Health Care Provider/Practitioner: INDIHEARTANDMIND INC

Information about “1083043830” NPI (INDIHEARTANDMIND INC) exists in 1083043830 in HTML format HTML  |  1083043830 in plain Text format TXT  |  1083043830 in PDF (Portable Document Format) PDF  |  1083043830 in an XML format XML  formats.

NPI Number : 1083043830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083043830",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INDIHEARTANDMIND INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7154 N UNIVERSITY DR # 411",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMARAC",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33321-2916",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "754-457-0700",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7800 W OAKLAND PARK BLVD STE 304B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUNRISE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33351-6741",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "754-457-0700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2013",
    "LastUpdateDate": "02/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REID",
    "AuthorizedOfficialFirstName": "AYINDE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "754-457-0700",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW12105",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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