| Mormindful Therapy & Psychiatry Inc | |
|
1 W Camino Real Boca Raton FL 33432-5966 | |
| (954) 253-0793 | |
| Not Available |
| Full Name | Mormindful Therapy & Psychiatry Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 W Camino Real, Boca Raton, Florida |
| Authorized Official Name and Position | Blair H. Mor (PRESIDENT) |
| Authorized Official Contact | 9542530793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mormindful Therapy & Psychiatry Inc 1 W Camino Real Boca Raton FL 33432-5966 Ph: (954) 253-0793 | Mormindful Therapy & Psychiatry Inc 1 W Camino Real Boca Raton FL 33432-5966 Ph: (954) 253-0793 |
| NPI Number | 1316495211 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 5193005890 |
|---|---|
| Medicare Enrollment ID | O20161215002300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316495211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Blair H Mor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154584050 PECOS PAC ID: 4284802315 Enrollment ID: I20110715000564 |
| Provider Name | Justin Nepa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932512118 PECOS PAC ID: 1850637455 Enrollment ID: I20190117002166 |
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