NPI Code Detail JSON Logo

1902723851 NPI number — TORUS MIND AND MEDICINE

NPI Number: 1902723851
Health Care Provider/Practitioner: TORUS MIND AND MEDICINE

Information about “1902723851” NPI (TORUS MIND AND MEDICINE) exists in 1902723851 in HTML format HTML  |  1902723851 in plain Text format TXT  |  1902723851 in PDF (Portable Document Format) PDF  |  1902723851 in an XML format XML  formats.

NPI Number : 1902723851 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902723851",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TORUS MIND AND MEDICINE",
    "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": "421 SE OSCEOLA ST UNIT 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STUART",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34994-2505",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-504-9882",
    "MailingAddressFaxNumber": "561-504-9882",
    "FirstLinePracticeLocationAddress": "421 SE OSCEOLA ST UNIT 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STUART",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34994-2505",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-504-9882",
    "PracticeLocationAddressFaxNumber": "561-504-9882",
    "EnumerationDate": "07/01/2026",
    "LastUpdateDate": "07/01/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAMSON",
    "AuthorizedOfficialFirstName": "SHARI",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "561-504-9882",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QI0500X",
          "TaxonomyName": "Infusion Therapy Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "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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