NPIMap

Organization Active NPI

Mind Matters LCSW PC

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1851634927
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MIND MATTERS LCSW PC
Doing business as
Mind Matters LCSW PC
Practice address
2330 Voorhies Ave Apt 2O
Brooklyn, NY 11235-2646
Phone
(718) 888-8883
Fax
(718) 646-1712
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Michele Kleiman, LCSWNPI 1558414581
Title
LCSW-R
Phone
(718) 288-8883

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2330 Voorhies Ave Apt 2O
Brooklyn, NY 11235-2646

Mailing address

54 Stony Hill Dr
Morganville, NJ 07751-1179
Phone (718) 888-8883

Other names 1

  • MIND MATTERS LCSW PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130419000092 NY Part B Supplier - Clinic/Group Practice 7911143888 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1851634927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 STONY HILL DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511179",
            "telephone_number": "718-888-8883",
            "fax_number": "718-646-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 VOORHIES AVE APT 2O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352646",
            "telephone_number": "718-888-8883",
            "fax_number": "718-646-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "LCSW-R",
        "authorized_official_telephone_number": "718-288-8883",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIND MATTERS LCSW PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.