MARK MINSON PHD, PA
NPI 1760745459
Clinic/Center - Adult Mental Health in Boca Raton, FL

Active since June 19, 2012
4710 NW 2ND AVE, SUITE 104, BOCA RATON, FL 33431(561) 999-9890(561) 999-9454 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Minson Phd, Pa NPPES

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

MARK MINSON PHD, PA (NPI 1760745459) is a healthcare organization registered as an adult mental health in Boca Raton, Florida and active in the NPI registry since June 2012. The organization lists Mark I Minson, Owner, as its authorized official.

NPPES Registry Identity

NPI1760745459
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMARK MINSON PHD, PA
Location Address4710 NW 2ND AVE, SUITE 104Boca Raton, FL 33431-4879
Mailing Address4710 Nw 2nd Ave, Suite 104Boca Raton, FL 33431-4879 · (561) 999-9890 · Fax (561) 999-9454
Fax(561) 999-9454
Organization SubpartNo
Authorized OfficialMark I MinsonOwner · (561) 999-9890
Enumeration DateJune 19, 2012
✔ NPI 1760745459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in FL · PY3478
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4710 NW 2ND AVE, Boca Raton, FL 33431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Minson Phd, Pa 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 Mark Minson Phd, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1518051069
4710 NW 2ND AVE
Boca Raton, FL 33431
(561) 999-9890
✔ PECOS✔ Accepts MedicareSame address

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 Mark Minson Phd, PA's NPI number?

The NPI number for Mark Minson Phd, PA is 1760745459. It was assigned to this organization in the NPPES registry on June 19, 2012.

Where is Mark Minson Phd, PA located?

Mark Minson Phd, PA is located at 4710 NW 2nd Ave Suite 104, Boca Raton, FL 33431. The listed phone number is (561) 999-9890.

What is Mark Minson Phd, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Mark Minson Phd, PA enrolled in Medicare?

Yes. Mark Minson Phd, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark Minson Phd, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mark Minson Phd, PA. 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 Mark Minson Phd, PA was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.