Active NPI
Master Minds Dyslexia Center, LLC
- Speech-Language Pathologist
- Southaven, MS
National Provider Identifier
1477282002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MASTER MINDS DYSLEXIA CENTER, LLC
- Practice address
- 1630 Goodman Rd E Ste 1
Southaven, MS 38671-9556 - Phone
- (662) 782-5330
- Fax
- (662) 782-5329
- NPI assigned
- Jun 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Givens, M.S. CCC-SLP
- Title
- Co-Founder, SLP
- Phone
- (662) 643-3619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1630 Goodman Rd E Ste 1
Southaven, MS 38671-9556
Mailing address
1630 Goodman Rd E Ste 1
Southaven, MS 38671-9556
Phone (662) 782-5330
Other names 1
- Master Minds Dyslexia Center
National Provider Directory
National Provider DirectoryLocations
1630 Goodman Rd E
Ste 1
Southaven, MS 38671
Phone (662) 782-5330
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Southaven, MS
- NPI 1033647458
-
- Speech-Language Pathologist
- Southaven, MS
- NPI 1366283830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1477282002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 GOODMAN RD E STE 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719556",
"telephone_number": "662-782-5330",
"fax_number": "662-782-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 GOODMAN RD E STE 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719556",
"telephone_number": "662-782-5330",
"fax_number": "662-782-5329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASTER MINDS DYSLEXIA CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-08",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "GIVENS",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "CO-FOUNDER, SLP",
"authorized_official_telephone_number": "662-643-3619",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Master Minds Dyslexia Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Master Minds Dyslexia Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.