Dynamic Minds Academy Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

DYNAMIC MINDS ACADEMY INC.

Practice address

8350 Craig St
Indianapolis, IN 46250-3593

Phone

(317) 578-0410

Fax

(317) 578-0520

NPI assigned

Mar 20, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Gordon, LCSW

Title

Consultant

Phone

(317) 578-0410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1811457617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 CRAIG ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503593",
            "telephone_number": "317-578-0410",
            "fax_number": "317-578-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 CRAIG ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462503593",
            "telephone_number": "317-578-0410",
            "fax_number": "317-578-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MINDS ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "317-578-0410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Local Education Agency (LEA) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.