Mindgarden Center Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

MINDGARDEN CENTER INC

Practice address

29900 Lorraine Ave Ste 350
Warren, MI 48093-5269

Phone

(586) 393-1570

Fax

(586) 231-1480

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan Kalasho

Title

President

Phone

(586) 393-1570

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1023922200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE STE 350",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935269",
            "telephone_number": "586-393-1570",
            "fax_number": "586-231-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE STE 350",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935269",
            "telephone_number": "586-393-1570",
            "fax_number": "586-231-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDGARDEN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "KALASHO",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-393-1570"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Warren, MI
• Providers in Warren, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.