Mosaic Minds Academy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOSAIC MINDS ACADEMY

Practice address

238 Union Ave Ste 1
Wood Ridge, NJ 07075-1919

Phone

(201) 686-0611

NPI assigned

Jun 3, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melinda Castro

Title

HR Coordinator

Phone

(201) 923-0723

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1528809696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 UNION AVE STE 1",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751919",
            "telephone_number": "201-686-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 UNION AVE STE 1",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751919",
            "telephone_number": "201-686-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MINDS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "201-923-0723"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.