MINDFUL PSYCHOLOGY AND WELLNESS CENTER, INC
NPI 1437822988
Psychologist - Clinical in Pembroke Pines, FL

Q: What is Mindful Psychology And Wellness Center, Inc's specialty?

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

Active since July 30, 2021

1931 NW 150TH AVE STE 116, PEMBROKE PINES, FL 33028(786) 383-1856(786) 431-4872 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mindful Psychology And Wellness Center, Inc NPPES

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

MINDFUL PSYCHOLOGY AND WELLNESS CENTER, INC (NPI 1437822988) is a healthcare organization registered as a clinical in Pembroke Pines, Florida and active in the NPI registry since July 2021. The organization lists Lisa Davenport, President, as its authorized official.

NPPES Registry Identity

NPI1437822988

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMINDFUL PSYCHOLOGY AND WELLNESS CENTER, INC

Location Address1931 NW 150TH AVE STE 116Pembroke Pines, FL 33028-2873

Mailing Address1931 Nw 150th Ave Ste 116Pembroke Pines, FL 33028-2873 · (786) 383-1856 · Fax (431) 487-2786

Phone(786) 383-1856

Fax(786) 431-4872

Organization SubpartNo

Authorized OfficialLisa DavenportPresident · (786) 383-1856

Enumeration DateJuly 30, 2021

NPPES CertifiedJuly 30, 2021

✔ NPI 1437822988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1931 NW 150TH AVE STE 116, Pembroke Pines, FL 33028

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Psychology And Wellness Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Psychology And Wellness Center, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Carol Davenport, PHD

Clinical Psychologist

NPI 1508995432

17100 ROYAL PALM BOULEVARD SUITE ONE
Weston, FL 33326

(954) 217-2444

✔ PECOS4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindful Psychology And Wellness Center, Inc's NPI number?

The NPI number for Mindful Psychology And Wellness Center, Inc is 1437822988. It was assigned to this organization in the NPPES registry on July 30, 2021.

Where is Mindful Psychology And Wellness Center, Inc located?

Mindful Psychology And Wellness Center, Inc is located at 1931 NW 150th Ave Ste 116, Pembroke Pines, FL 33028. The listed phone number is (786) 383-1856.

What is Mindful Psychology And Wellness Center, Inc's specialty?

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

Is Mindful Psychology And Wellness Center, Inc enrolled in Medicare?

Yes. Mindful Psychology And Wellness Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Psychology And Wellness Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindful Psychology And Wellness Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Psychology And Wellness Center, Inc was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.