Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivid Minds, LLC

Organization Case Management Agency · NPI 1720430838

Vivid Minds, LLC is a Case Management Agency in Staten Island, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

37 Conger St
Staten Island, NY 10305-4505
Phone: (347) 575-7997
Fax: (718) 368-0508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1720430838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kateryna Stern — Ceo · (347) 575-7997
NPI enumeratedJuly 13, 2016
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address37 Conger St, Staten Island, NY 10305-4505

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