NPIMap

Organization Active NPI

Minds in Motion Children'S Center, LLC

  • Early Intervention Provider Agency
  • Gaithersburg, MD
National Provider Identifier
1396168522
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
158434 Issued in MD
Legal business name
MINDS IN MOTION CHILDREN'S CENTER, LLC
Practice address
8041 Cessna Ave
Ste 232
Gaithersburg, MD 20879-4169
Phone
(301) 977-9393
Fax
(301) 977-9394
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Mrs. Latisha Jannell Gasaway
Title
Co-Owner
Phone
(301) 977-9393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X 158434 MD Primary

Addresses

Primary practice location

8041 Cessna Ave
Ste 232
Gaithersburg, MD 20879-4169

Mailing address

8041 Cessna Ave
Ste 232
Gaithersburg, MD 20879-4169
Phone (301) 977-9393

National Provider Directory

National Provider Directory
Tax ID family
Minds in Motion Children'S Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1396168522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 CESSNA AVE",
            "address_2": "STE 232",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794169",
            "telephone_number": "301-977-9393",
            "fax_number": "301-977-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 CESSNA AVE",
            "address_2": "STE 232",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794169",
            "telephone_number": "301-977-9393",
            "fax_number": "301-977-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS IN MOTION CHILDREN'S CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "JANNELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "301-977-9393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "158434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.