Active NPI
Special Mindzz LLC.
- Community/Behavioral Health Agency
- Bronx, NY
National Provider Identifier
1730891128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SPECIAL MINDZZ LLC.
- Practice address
- 2069 Mayflower Ave Apt 2
Bronx, NY 10461-3978 - Phone
- (917) 498-1311
- Fax
- (914) 992-0942
- NPI assigned
- Dec 19, 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
- Deanna Malachi, MS,BA
- Title
- ABA /Autism Therapist
- Phone
- (917) 498-1311
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
2069 Mayflower Ave Apt 2
Bronx, NY 10461-3978
Mailing address
2069 Mayflower Ave Apt 2
Bronx, NY 10461-3978
Phone (917) 498-1311
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1730891128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2069 MAYFLOWER AVE APT 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104613978",
"telephone_number": "917-498-1311",
"fax_number": "914-992-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2069 MAYFLOWER AVE APT 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104613978",
"telephone_number": "917-498-1311",
"fax_number": "914-992-0942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL MINDZZ LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-17",
"status": "A",
"authorized_official_last_name": "MALACHI",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "ABA /AUTISM THERAPIST",
"authorized_official_telephone_number": "917-498-1311",
"authorized_official_credential": "MS,BA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.