Active NPI
Mindful Kids Nyc
- Hearing and Speech Clinic/Center
- New York, NY
National Provider Identifier
1497502512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- MINDFUL KIDS NYC
- Practice address
- 62 Leroy St Apt 4a
New York, NY 10014-3988 - Phone
- (717) 917-8226
- NPI assigned
- May 6, 2024
- Last updated
- Oct 31, 2024
- 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
- Jamie Brod, CCC-SLP
- Title
- Speech-Language Pathology
- Phone
- (717) 917-8226
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 |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
62 Leroy St Apt 4a
New York, NY 10014-3988
Mailing address
62 Leroy St Apt 4a
New York, NY 10014-3988
Phone (717) 917-8226
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- New York, NY
- NPI 1396121521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1497502512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 LEROY ST APT 4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143988",
"telephone_number": "717-917-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 LEROY ST APT 4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100143988",
"telephone_number": "717-917-8226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL KIDS NYC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "BROD",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGY",
"authorized_official_telephone_number": "717-917-8226",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Mindful Medical Nyc, PLLC (Mindful Medical)
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- Mindful Path
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- Mindful Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.