Active NPI
Open Minds Early Childhood Program Inc.
- Early Intervention Provider Agency
- Rosedale, NY
National Provider Identifier
1891432431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- OPEN MINDS EARLY CHILDHOOD PROGRAM INC.
- Practice address
- 24417 N Conduit Ave
Rosedale, NY 11422-2215 - Phone
- (718) 341-0987
- NPI assigned
- May 16, 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
- Miss Lamarr R Riddick
- Title
- Chief Officer
- Phone
- (718) 341-0987
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
24417 N Conduit Ave
Rosedale, NY 11422-2215
Mailing address
22919 Merrick Blvd # 505
Laurelton, NY 11413-2108
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Rosedale, NY
- NPI 1164299426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1891432431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22919 MERRICK BLVD # 505",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24417 N CONDUIT AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222215",
"telephone_number": "718-341-0987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MINDS EARLY CHILDHOOD PROGRAM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "RIDDICK",
"authorized_official_first_name": "LAMARR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF OFFICER",
"authorized_official_telephone_number": "718-341-0987",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.