| Mind Matters | |
|
5606 Pga Blvd Ste 113 Palm Beach Gardens FL 33418-4122 | |
| (561) 296-3211 | |
| (516) 296-3212 |
| Full Name | Mind Matters |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5606 Pga Blvd Ste 113, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Cynthia L. Theiss (OWNER) |
| Authorized Official Contact | 5612963211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters 5606 Pga Blvd Ste 113 Palm Beach Gardens FL 33418-4122 Ph: (561) 296-3211 | Mind Matters 5606 Pga Blvd Ste 113 Palm Beach Gardens FL 33418-4122 Ph: (561) 296-3211 |
| NPI Number | 1962760751 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 0042445942 |
|---|---|
| Medicare Enrollment ID | O20131031000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962760751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Cynthia L Theiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598821845 PECOS PAC ID: 5496980393 Enrollment ID: I20131126000731 |
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