| Mindful Behavioral Health | |
|
2201 Nw Corporate Blvd Suite 202 Boca Raton FL 33431-7337 | |
| (561) 499-6933 | |
| (561) 235-5172 |
| Full Name | Mindful Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2201 Nw Corporate Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Ivan E Cichowicz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5614996933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Behavioral Health 2201 Nw Corporate Blvd Suite 202 Boca Raton FL 33431-7337 Ph: (561) 499-6933 | Mindful Behavioral Health 2201 Nw Corporate Blvd Suite 202 Boca Raton FL 33431-7337 Ph: (561) 499-6933 |
| NPI Number | 1992133946 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 1052540135 |
|---|---|
| Medicare Enrollment ID | O20140213000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992133946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Marc David Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467665091 PECOS PAC ID: 6800987223 Enrollment ID: I20091007000636 |
| Provider Name | Gretchen Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609089093 PECOS PAC ID: 2062551229 Enrollment ID: I20140213000549 |
| Provider Name | Ivan Eduardo Cichowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932312840 PECOS PAC ID: 3779615059 Enrollment ID: I20140213000600 |
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