Organization Active NPI

Wellbeing Therapeutic Services Inc

  • Early Intervention Provider Agency
  • Edina, MN
National Provider Identifier
1013522432
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WELLBEING THERAPEUTIC SERVICES INC
Practice address
200 Southdale Ctr # 22
Edina, MN 55435-7000
Phone
(612) 504-9995
Fax
(612) 746-3355
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Mohamed Y Ali
Title
Owner
Phone
(612) 504-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

200 Southdale Ctr # 22
Edina, MN 55435-7000

Mailing address

200 Southdale Ctr # 22
Edina, MN 55435-7000
Phone (612) 504-9995

National Provider Directory

National Provider Directory

Locations

200 Southdale Ctr
#22
Edina, MN 55435
Phone (612) 504-9995

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1013522432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHDALE CTR # 22",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357000",
            "telephone_number": "612-504-9995",
            "fax_number": "612-746-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHDALE CTR # 22",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357000",
            "telephone_number": "612-504-9995",
            "fax_number": "612-746-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-504-9995"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.