Roza Minazova

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

3136303 Issued in NY

Practice address

3235 Emmons Ave Apt 424
Brooklyn, NY 11235-1163

Phone

(646) 644-2502

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids Minds Therapy Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1457180465
  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1285350272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 424",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351163",
            "telephone_number": "646-644-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 424",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351163",
            "telephone_number": "646-644-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAZOVA",
        "first_name": "ROZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "3136303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iryna Minakov, LMSW
• Maria Minalla, LMSW
• Diana Minardo, OTR/L
• Rosette Minault, LPN
• Marlene Minaya
• Jessica Minchala Correa, LMSW
• Simon Minchow
• Mind Body Connect Nurse Practitioner in Psychiatry PLLC
• Mind Body Mental Health Counseling Services PLLC
• Mind Body Psychiatry

• Local Education Agency (LEA) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.