Mindful Psychology and Wellness Center, Inc
NPI 1437822988ActiveOrganization· Psychologist, Clinical· Pembroke Pines, FL
Psychologist, Clinical in Pembroke Pines, Florida, registered in NPPES in July 2021. The authorized official on file is Lisa Davenport, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437822988 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2021 |
| Last updated in NPPES | Jul 30, 2021 |
| Certified by provider | Jul 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (FL) |
|---|
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