DYNAMIC MINDS ACADEMY INC. (NPI# 1811457617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811457617 |
| Entity Type | Organization |
| Organization Name | DYNAMIC MINDS ACADEMY INC. |
| Practice Address |
8350 Craig St Indianapolis IN 46250-3593 |
| Practice Telephone | 3175780410 |
| Practice Fax Number | 3175780520 |
| Mailing Telephone | 3175780410 |
| Mailing Fax Number | 3175780520 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | MRS. JULIE GORDON (CONSULTANT) |
| Authorized Official Telephone | 3175780410 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
8350 CRAIG ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255869954 | Kaitlin Tyner | Speech-Language Pathologist | 8350 Craig St, Indianapolis, IN 46250-3593 | 2017-05-25 |
| 1174169544 | Mariah Patz | Behavioral Analyst | 8350 Craig St, Indianapolis, IN 46250-3593 | 2019-11-20 |
| 1033754536 | Myranda Phillips | Occupational Therapist | 8350 Craig St, Indianapolis, IN 46250-3593 | 2019-11-08 |
| 1750855912 | Nicole L Thomas | Behavioral Analyst | 8350 Craig St, Indianapolis, IN 46250-3593 | 2019-01-21 |
| 1215404199 | Julia Durborow | Speech-Language Pathologist | 8350 Craig St, Indianapolis, IN 46250-3593 | 2018-10-29 |
| 1801362439 | Amanda Mcbride | Occupational Therapy Assistant | 8350 Craig St, Indianapolis, IN 46250-3593 | 2018-10-22 |
| 1205323425 | Shelby Lynn Bennett | Occupational Therapist | 8350 Craig St, Indianapolis, IN 46250-3593 | 2018-04-13 |
| 1003311440 | Jordan Lynn Silk | Behavioral Analyst | 8350 Craig St, Indianapolis, IN 46250-3593 | 2018-03-28 |
| 1184146151 | Anyea Livers | Speech-Language Pathologist | 8350 Craig St, Indianapolis, IN 46250-3593 | 2017-07-12 |
| 1568983955 | Danielle Rosselli-anderson | Behavioral Analyst | 8350 Craig St, Indianapolis, IN 46250-3593 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943460 | Scholars, LLC | Local Education Agency (LEA) | 3033 W 39th St Apt 2014, Indianapolis, IN 46228-3154 | 2020-08-19 |
| 1467948562 | Matchbook Learning | Local Education Agency (LEA) | 1163 N Belmont Ave, Indianapolis, IN 46222-3144 | 2018-07-02 |
| 1972001154 | Ignite Achievement Academy | Local Education Agency (LEA) | 1002 W 25th St, Indianapolis, IN 46208-5330 | 2018-01-23 |
| 1114430287 | Purdue Polytechnic High School of Indianapolis | Local Education Agency (LEA) | 525 S Meridian St, Indianapolis, IN 46225-1108 | 2017-11-13 |
| 1649649039 | Tindley Accelerated Schools | Local Education Agency (LEA) | 4625 Arlington Avenue, Indianapolis, IN 46226 | 2015-09-16 |
| 1750759767 | Tindley Accelerated Schools | Local Education Agency (LEA) | 3960 Meadows Dr, Indianapolis, IN 46205-3114 | 2015-09-08 |
| 1083082093 | Tindley Accelerated Schools | Local Education Agency (LEA) | 4010 N Sherman Dr, Indianapolis, IN 46226-4464 | 2015-09-08 |
| 1417325424 | Tindley Accelerated Shools, Inc | Local Education Agency (LEA) | 4020 Meadows Pkwy, Indianapolis, IN 46205-2984 | 2015-09-08 |
| 1386012300 | Tindley Acclerated Schools, Inc | Local Education Agency (LEA) | 4020 N Sherman Dr, Indianapolis, IN 46226-4464 | 2015-09-08 |
| 1033587050 | Tindley Acclerated Schools | Local Education Agency (LEA) | 4002 N Franklin Rd, Indianapolis, IN 46226-5297 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.