MINDBODY CONNECTION
NPI 1124364104
Psychologist - Clinical in Aventura, FL

Q: What is Mindbody Connection's NPI number?

The NPI number for Mindbody Connection is 1124364104. It was assigned to this organization in the NPPES registry on December 20, 2012.

Q: What is Mindbody Connection's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 20, 2012

2875 NE 191ST ST, #538, AVENTURA, FL 33180(754) 300-9386(786) 923-0947 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mindbody Connection NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDBODY CONNECTION (NPI 1124364104) is a healthcare organization registered as a clinical in Aventura, Florida and active in the NPI registry since December 2012. The organization lists Mariam Dum, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124364104

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMINDBODY CONNECTION

Location Address2875 NE 191ST ST, #538Aventura, FL 33180-2801

Mailing Address2121 Sw 3rd Ave, 200Miami, FL 33129-1490 · (786) 553-4546 · Fax (786) 923-0947

Phone(754) 300-9386

Fax(786) 923-0947

Organization SubpartNo

Authorized OfficialMariam DumClinical Psychologist · (786) 553-4546

Enumeration DateDecember 20, 2012

✔ NPI 1124364104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY 8498

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2875 NE 191ST ST, Aventura, FL 33180

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIRCE DUNWOODY MSW

Social Worker (Clinical)

2875 NE 191ST ST
AVENTURA, FL 33180

Miami-Dade County (305) 466-2543

ELIAS MILGRAM M.D. L.L.C.

Clinic/Center

2875 NE 191ST ST, SUITE 604
AVENTURA, FL 33180

Miami-Dade County (305) 932-3083

DR. FELIPE GUSTAVO GERCOVICH PROF.,MD

Internal Medicine (Hematology & Oncology)

2875 NE 191ST ST, SUITE 801
AVENTURA, FL 33180

Miami-Dade County (305) 979-7177

ERO MEDICAL SUPPLIES, LLC

Durable Medical Equipment & Medical Supplies

2875 NE 191ST ST, SUITE 704
AVENTURA, FL 33180

Miami-Dade County (305) 851-5827

BALANCED LIFE THERAPY GROUP, LLC

Counselor (Mental Health)

2875 NE 191ST ST, SUITE 700
AVENTURA, FL 33180

Miami-Dade County (786) 227-3242

DR. VIRGINIA M.V. BUKI M. D.

Psychiatry & Neurology (Psychiatry)

2875 NE 191ST ST, SUITE # 402
AVENTURA, FL 33180

Miami-Dade County (305) 935-1800

IRVIN STAFFING, INC

Hospice Care, Community Based

2875 NE 191ST ST, SUITE 505
AVENTURA, FL 33180

Miami-Dade County (305) 935-5898

ORLY GUERON, LLC

Exclusive Provider Organization

2875 NE 191ST ST, SUITE 538
AVENTURA, FL 33180

Miami-Dade County (305) 924-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindbody Connection's NPI number?

The NPI number for Mindbody Connection is 1124364104. It was assigned to this organization in the NPPES registry on December 20, 2012.

Where is Mindbody Connection located?

Mindbody Connection is located at 2875 NE 191st St #538, Aventura, FL 33180. The listed phone number is (754) 300-9386.

What is Mindbody Connection's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mindbody Connection was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.