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MINDFUL BEHAVIORAL HEALTHCARE, LLC
NPI 1447920616
Psychiatry & Neurology - Psychiatry in Orlando, FL

Active since September 17, 2021CLIA Certified · 2 labs
10920 MOSS PARK RD STE 200, ORLANDO, FL 32832(407) 846-0533(407) 518-1730 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Sep 17, 2021 (2 updates tracked since 2021).

About Mindful Behavioral Healthcare, Llc NPPES

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

MINDFUL BEHAVIORAL HEALTHCARE, LLC (NPI 1447920616) is a healthcare organization registered as a psychiatry in Orlando, Florida and active in the NPI registry since September 2021. The organization holds 2 active CLIA laboratory certificates and lists Michelle Missigman, Coo, as its authorized official.

NPPES Registry Identity

NPI1447920616
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMINDFUL BEHAVIORAL HEALTHCARE, LLC
Location Address10920 MOSS PARK RD STE 200Orlando, FL 32832-6087
Mailing Address717 E Oak StKissimmee, FL 34744-4580 · (407) 846-0533 · Fax (407) 518-1730
Phone(407) 846-0533
Fax(407) 518-1730
Organization SubpartNo
Authorized OfficialMichelle MissigmanCoo · (352) 328-9139
Enumeration DateSeptember 17, 2021
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1447920616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
10920 MOSS PARK RD STE 200, Orlando, FL 32832
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Other Identifiers 1

Medicaid006520801FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2036484

Mindful Behavioral Healthcare LLC · Kissimmee, FL
Active · expires Feb 7, 2028
CLIA Number10D2036484
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorVivian Charneco
Laboratory Phone(407) 846-0533
Laboratory LocationMindful Behavioral Healthcare LLC717 E Oak St, Kissimmee, FL 34744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2216023

Mindful Behavioral Healthcare LLC · Kissimmee, FL
Active · expires Mar 8, 2027
CLIA Number10D2216023
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorVivian Charneco
Laboratory Phone(407) 846-0533
Laboratory LocationMindful Behavioral Healthcare LLC711 E Oak Street, Kissimmee, FL 34744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EMILY ANNE AKOS MA, NCC
Counselor (Mental Health)
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533
MINDFUL BEHAVIORAL HEALTHCARE, LLC
Community/Behavioral Health
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533
SHUJEN T FERNANDEZ ARNP-C, CCRN
Nurse Practitioner (Psychiatric/Mental Health)
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533

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 Behavioral Healthcare, LLC's NPI number?

The NPI number for Mindful Behavioral Healthcare, LLC is 1447920616. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Mindful Behavioral Healthcare, LLC located?

Mindful Behavioral Healthcare, LLC is located at 10920 Moss Park Rd Ste 200, Orlando, FL 32832. The listed phone number is (407) 846-0533.

What is Mindful Behavioral Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Mindful Behavioral Healthcare, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mindful Behavioral Healthcare, LLC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.