Organization Active NPI

Master Minds Dyslexia Center, LLC

  • Speech-Language Pathologist
  • Southaven, MS
National Provider Identifier
1477282002
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Megan Givens, M.S. CCC-SLPNPI 1033647458
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.