Vivid Minds, LLC
Early Intervention Provider Agency in Staten Island, New York
1720430838- Practice location
- 37 Conger St, Staten Island, NY 10305-4505
- Phone
- 347-575-7997
- Fax
- 718-368-0508
- Last updated
- November 13, 2024
Vivid Minds, LLC is a healthcare organization based in Staten Island, NY. Vivid Minds, LLC practices in Staten Island, NY. The NPI Number for Vivid Minds, LLC is 1720430838. The current practice location address for Vivid Minds, LLC is 37 Conger St, Staten Island, NY 10305-4505 and can be reached out via phone at 347-575-7997 and via fax at 718-368-0508.
Provider Profile Details
- NPI Number
- 1720430838
- Provider Name
- Vivid Minds, LLC
- Provider Entity Type
- Organization
- Address
- 37 Conger St, Staten Island, NY 10305-4505
- Phone Number
- 347-575-7997
- Fax Number
- 718-368-0508
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Kateryna Stern · Ceo · 347-575-7997
- Provider Enumeration Date
- July 13, 2016
- Last Update Date
- November 13, 2024
- Certification Date
- November 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 37 Conger St
Staten Island, NY 10305-4505 - City
- Staten Island
- State
- New York
- Zip
- 10305-4505
- Phone Number
- 347-575-7997
- Fax Number
- 718-368-0508
Provider Business Mailing Address Details
- Address
- 37 Conger St
Staten Island, NY 10305-4505 - City
- Staten Island
- State
- NY
- Zip
- 10305-4505
- Phone Number
- 347-575-7997
- Fax Number
- 718-368-0508
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vivid Minds, LLC?
The NPI number of Vivid Minds, LLC is 1720430838. It was assigned on July 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Vivid Minds, LLC?
Vivid Minds, LLC is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Vivid Minds, LLC practice?
The practice location is 37 Conger St, Staten Island, NY 10305-4505. The office can be reached at 347-575-7997 (phone) or 718-368-0508 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720430838 directly on the NPPES registry website.