Tomas Soto
NPI 1194412007ActiveIndividual· Psychologist, Clinical· Wilton Manors, FL
Psychologist, Clinical with Mind Body Therapeutics LLC, practicing in Wilton Manors, Florida. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1194412007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2023 |
| Last updated in NPPES | Nov 3, 2023 |
| Certified by provider | Nov 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY11867 | FL |
| Psychologist | 103T00000X | PY11867 | FL |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | PY11867 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mind Body Therapeutics LLCBoca Raton, FL · 2 clinicians
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