Mindworks Developmental Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MINDWORKS DEVELOPMENTAL SERVICES LLC

Practice address

601 Prospect St
Lakewood, NJ 08701-4628

Phone

(732) 886-7335

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By 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

Ephraim Nussbaum

Title

Co-Owner

Phone

(732) 644-2216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1316431109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROSPECT ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014628",
            "telephone_number": "732-886-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROSPECT ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014628",
            "telephone_number": "732-886-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWORKS DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "EPHRAIM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-644-2216"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "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 Jun 15, 2018; 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.