Mind, Body & Soul Psychiatry, P.A.
NPI 1740045004 · Psychiatry Physician · Pembroke Pines, FL
Mind, Body & Soul Psychiatry, P.A. is a Psychiatry Physician organization in Pembroke Pines, FL (NPI 1740045004).
Provider details
- NPI number
- 1740045004
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Glaccum-Gavagni, Owner/Psychiatrist(954) 546-2707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Diana Sofia Glaccum-Gavagni, MD, PA
- Former legal business name
- Diana Sofia Glaccum-Gavagni, MD, PA
Registry dates
- Enumerated
- 2024-02-15
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Mind, Body & Soul Psychiatry, P.A.'s NPI number?
- Mind, Body & Soul Psychiatry, P.A.'s National Provider Identifier (NPI) is 1740045004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind, Body & Soul Psychiatry, P.A.?
- Mind, Body & Soul Psychiatry, P.A. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mind, Body & Soul Psychiatry, P.A. located?
- Mind, Body & Soul Psychiatry, P.A.'s practice location on file with NPPES is 900 Sw 196th Ave, Pembroke Pines, FL 33029-1329.
- What is Mind, Body & Soul Psychiatry, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Mind, Body & Soul Psychiatry, P.A. is (954) 546-2707.
- Who is the authorized official for Mind, Body & Soul Psychiatry, P.A.?
- The authorized official listed on Mind, Body & Soul Psychiatry, P.A.'s NPPES record is Diana Glaccum-Gavagni, Owner/Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind, Body & Soul Psychiatry, P.A.'s NPI active?
- Yes — Mind, Body & Soul Psychiatry, P.A.'s NPI (1740045004) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.