Provider Demographics
NPI:1093396061
Name:SPECIAL MINDS INC
Entity Type:Organization
Organization Name:SPECIAL MINDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAVATSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:845-729-0417
Mailing Address - Street 1:305 KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6065
Mailing Address - Country:US
Mailing Address - Phone:845-729-0417
Mailing Address - Fax:
Practice Address - Street 1:305 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-6065
Practice Address - Country:US
Practice Address - Phone:845-729-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency