Organization Active NPI

Mindspark Therapy LLC

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1356032742
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MINDSPARK THERAPY LLC
Practice address
1148 Epson Oaks Way
Orlando, FL 32837-6320
Phone
(407) 486-0444
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Pascual Ciampi
Title
Owner
Phone
(407) 486-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1148 Epson Oaks Way
Orlando, FL 32837-6320

Mailing address

1148 Epson Oaks Way
Orlando, FL 32837-6320
Phone (407) 486-0444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1356032742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 EPSON OAKS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376320",
            "telephone_number": "407-486-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 EPSON OAKS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376320",
            "telephone_number": "407-486-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPARK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "CIAMPI",
        "authorized_official_first_name": "PASCUAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-486-0444"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.