1. Home
  2. Directory
  3. Florida
  4. Oakland Park
  5. Psychologist
  6. NPI Profile

A MINDFUL SPACE PSYCHOTHERAPY, LLC
NPI 1851115158
Psychologist - Clinical in Oakland Park, FL

Active since November 13, 2024
1400 NW 41ST CT, OAKLAND PARK, FL 33309(954) 574-2013 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Mindful Space Psychotherapy, Llc NPPES

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

A MINDFUL SPACE PSYCHOTHERAPY, LLC (NPI 1851115158) is a healthcare organization registered as a clinical in Oakland Park, Florida and active in the NPI registry since November 2024. The organization lists Jerrod Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851115158
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameA MINDFUL SPACE PSYCHOTHERAPY, LLC
Location Address1400 NW 41ST CTOakland Park, FL 33309-4520
Mailing Address1400 Nw 41st CtOakland Park, FL 33309-4520 · (954) 574-2013
Phone(954) 574-2013
Organization SubpartNo
Authorized OfficialJerrod JohnsonCeo · (954) 574-2013
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1851115158 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.
1400 NW 41ST CT, Oakland Park, FL 33309
Open in Google Maps ↗

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

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 A Mindful Space Psychotherapy, LLC's NPI number?

The NPI number for A Mindful Space Psychotherapy, LLC is 1851115158. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is A Mindful Space Psychotherapy, LLC located?

A Mindful Space Psychotherapy, LLC is located at 1400 NW 41st Ct, Oakland Park, FL 33309. The listed phone number is (954) 574-2013.

What is A Mindful Space Psychotherapy, LLC'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 A Mindful Space Psychotherapy, LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.