Magan Health Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MAGAN HEALTH SERVICES

Practice address

8170 Old Carriage CT Ste 200
Shakopee, MN 55379-3169

Phone

(651) 395-9860

NPI assigned

Jun 4, 2025

Organization subpart

No

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

Authorized official

Name

Ahmed Muktar

Title

Owner

Phone

(651) 395-9860

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1003700055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT STE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793169",
            "telephone_number": "651-395-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 OLD CARRIAGE CT STE 200",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793169",
            "telephone_number": "651-395-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MUKTAR",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-395-9860"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ly
• Gayle Heather Macbride, PH.D.
• Amaka Stella Machie
• Robert Macinnes, LPCC
• Jennifer Jean Mackenthun
• Robert Mahon, PT
• Madeline June Maley
• Sumani Dadiri Malimu
• Survival Damaris Mandieka, DNP, APRN,CNP
• Merissa Velma Richter Marcussen, D.D.S

• Adolescent and Children Mental Health Clinic/Center in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.