Dynamic Minds Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DYNAMIC MINDS THERAPY LLC

Practice address

169 Manhattan Ave
Jersey City, NJ 07307-3841

Phone

(201) 839-7487

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Rosado, LCSWNPI 1639892417

Title

Licensed Clinical Social Worker

Phone

(201) 839-7487

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Rosado, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
  • NPI 1639892417
  NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1568188704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MANHATTAN AVE APT 46",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073885",
            "telephone_number": "201-839-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073841",
            "telephone_number": "201-839-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "201-839-7487",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maruthi Kumar Dussa
• DVH NP in Psychiatry Services NJ LLC
• Mina O. Dwamena, APN
• Eric Dworsky, NP
• Angelina D Dyecho, RN
• Dynamic Pain Solutions LLC
• Daniel Dynes, LSW
• E-Motion Physical Therapy
• E320 Physical Therapy LLC.
• Eagle Tes Medical Transportation

• Community/Behavioral Health Agency in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

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