Mindscapes

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Legal business name

MINDSCAPES

Doing business as

MINDscapes, LLC

Practice address

1241 Hill Rd N
Pickerington, OH 43147-7989

Phone

(614) 604-6067

Fax

(614) 604-6529

NPI assigned

Dec 16, 2019

Last updated

Jul 3, 2020By 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

Miss Angela S Coleman

Title

Office Manager

Phone

(614) 604-6067

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• MINDscapes, LLC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regan Leigh Haggerty, MS, OTR/L

  • Occupational Therapist
  • Westerville, OH
  • NPI 1295402279
  NPD (past)
• Kasey Rubin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pickerington, OH
  • NPI 1497640726
  NPD (past)
• Laurna Leigh Surdy, MD

  • Speech-Language Pathologist
  • Fairlawn, OH
  • NPI 1689132052
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1174161640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477989",
            "telephone_number": "614-604-6067",
            "fax_number": "614-604-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477989",
            "telephone_number": "614-604-6067",
            "fax_number": "614-604-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSCAPES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-604-6067",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380208",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTPTAT BOARD",
            "identifier": "1023631447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY BOARD",
            "identifier": "1659703676",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND HEARING PROFESSIONALS BOARD",
            "identifier": "1063972362",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND HEARING PROFESSIONALS BOARD",
            "identifier": "1720497217",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "1851925465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDscapes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Jo Miller
• Crystal Miller
• Joyce Kay Miller
• Alice Leona Mills
• Oscar Andrei Mindrutiu
• Catherine Grace Minshall
• Hodan Mire
• Shannon Irene Miskovich
• Jennifer Mitchell
• Alexis Marie Mobley

• School Psychologist in Pickerington, OH
• Providers in Pickerington, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.