MINDBODY CONNECTION
NPI 1124364104
Psychologist - Clinical in Aventura, FL

NPI Status: Active since December 20, 2012

Contact Information

2875 NE 191ST ST
#538
AVENTURA, FL
ZIP 33180
Phone: (754) 300-9386
Fax: (786) 923-0947

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  • Organization
  • Psychologist
  • Clinical

About MINDBODY CONNECTION

This page provides the complete NPI Profile along with additional information for Mindbody Connection, a provider established in Aventura, Florida operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124364104 assigned on December 2012. The practitioner's primary taxonomy code is 103TC0700X with license number PY 8498 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mariam Dum Ph.d. (Clinical Psychologist)

NPI
1124364104
Provider Name
MINDBODY CONNECTION
Entity Type
Organization
Location Address
2875 NE 191ST ST #538 AVENTURA, FL 33180
Location Phone
(754) 300-9386
Location Fax
(786) 923-0947
Mailing Address
2121 SW 3RD AVE 200 MIAMI, FL 33129
Mailing Phone
(786) 553-4546
Mailing Fax
(786) 923-0947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2012
Last Update Date
12-20-2012
Code Navigator

A clinical psychologist like Mindbody Connection assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY 8498
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARIAM DUM PH.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(786) 553-4546

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124364104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 6 + 8 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124364104.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
2875 NE 191ST ST, TURNBERRY PLAZA SUITE 303
AVENTURA, FL 33180
Hospice Care, Community Based
2875 NE 191ST ST, SUITE 505
AVENTURA, FL 33180
Durable Medical Equipment & Medical Supplies
2875 NE 191ST ST, SUITE 704
AVENTURA, FL 33180
Social Worker (Clinical)
2875 NE 191ST ST
AVENTURA, FL 33180
Exclusive Provider Organization
2875 NE 191ST ST, SUITE 538
AVENTURA, FL 33180
Clinic/Center
2875 NE 191ST ST, SUITE 604
AVENTURA, FL 33180
Internal Medicine (Hematology & Oncology)
2875 NE 191ST ST, SUITE 801
AVENTURA, FL 33180
Counselor (Mental Health)
2875 NE 191ST ST, SUITE 700
AVENTURA, FL 33180
Psychiatry & Neurology (Psychiatry)
2875 NE 191ST ST, SUITE # 402
AVENTURA, FL 33180
Family Medicine
2875 NE 191ST ST, SUITE 403
AVENTURA, FL 33180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124364104, enumerated as an "organization" on December 20, 2012.

The provider is located at 2875 NE 191ST ST #538 AVENTURA, FL 33180 and the phone number is (754) 300-9386.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.