Organization Active NPI

Minding Miracles Learning Center

  • Behavior Analyst
  • Port Monmouth, NJ
National Provider Identifier
1851993695
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MINDING MIRACLES LEARNING CENTER
Practice address
204 Wilson Ave
Port Monmouth, NJ 07758-1228
Phone
(848) 757-2123
Fax
(732) 769-2343
NPI assigned
Nov 16, 2020
Last updated
Apr 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Authorized official

Name
Elizabeth DemarcoNPI 1326779299
Title
Director
Phone
(848) 757-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

204 Wilson Ave
Port Monmouth, NJ 07758-1228

Mailing address

204 Wilson Ave
Port Monmouth, NJ 07758-1228
Phone (732) 682-6645

Other names 1

  • Minding Miracles Other name

National Provider Directory

National Provider Directory
Tax ID family
Minding Miracles6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1851993695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WILSON AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581228",
            "telephone_number": "732-682-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WILSON AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581228",
            "telephone_number": "848-757-2123",
            "fax_number": "732-769-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDING MIRACLES LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-757-2123"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minding Miracles",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Minding Miracles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Monmouth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.