Colorful Minds Therapy Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COLORFUL MINDS THERAPY SERVICES LLC

Practice address

989 Kane St
South Elgin, IL 60177-1422

Phone

(630) 352-7357

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Woods, BCBA

Title

Owner

Phone

(630) 352-7357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1225616378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 KANE ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771422",
            "telephone_number": "630-352-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 KANE ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771422",
            "telephone_number": "630-352-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORFUL MINDS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-352-7357",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.