Celeste Ilene Ross

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

172 W 130TH St Ofc 1
New York, NY 10027-2030

Phone

(917) 806-1978

Fax

(201) 595-0313

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972103836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SMITH MANOR BLVD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524227",
            "telephone_number": "917-806-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W 130TH ST OFC 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272030",
            "telephone_number": "917-806-1978",
            "fax_number": "201-595-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CELESTE",
        "middle_name": "ILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-09-11",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.moldingmindsllc.org",
            "affiliation": "N",
            "endpointDescription": "www.moldingmindsllc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "172 W 130th St Ofc 1",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100272030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Meigs Ross, LCSW
• Ariana Whitney Ross, PA-C
• Arlene B. Ross, PSYCHOANALYSR
• Bonnie Ross, MD
• Brendan David Ross
• Chloe Anjali Ross
• Dara Ross, MD
• Diana Ross
• Dorothy Crystal Ross
• Dylan Ross

• Early Intervention Provider Agency in New York, NY
• Providers in New York, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.