Provider Demographics
NPI:1427687714
Name:MASTERMIND CARE, INC
Entity type:Organization
Organization Name:MASTERMIND CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BARREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-548-6303
Mailing Address - Street 1:541 S STATE ROAD 7 STE 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1711
Mailing Address - Country:US
Mailing Address - Phone:954-548-6303
Mailing Address - Fax:
Practice Address - Street 1:541 S STATE ROAD 7 STE 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-1711
Practice Address - Country:US
Practice Address - Phone:954-548-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health