NPIMap

Organization Active NPI

Scitech Academy

  • Developmental Disabilities Clinic/Center
  • Richfield, MN
National Provider Identifier
1013572056
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
SCITECH ACADEMY
Practice address
100 W 66TH St
Richfield, MN 55423-2371
Phone
(612) 800-2036
Fax
(612) 869-8522
NPI assigned
May 6, 2019
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Abdisallam Ahmed AbdulleNPI 1558875856
Title
Exective Director
Phone
(612) 200-9466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

100 W 66TH St
Richfield, MN 55423-2371

Mailing address

100 W 66TH St
Richfield, MN 55423-2371
Phone (612) 800-2036

National Provider Directory

National Provider Directory

Locations

100 W 66th St
Richfield, MN 55423
Phone (612) 470-0601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1013572056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232371",
            "telephone_number": "612-800-2036",
            "fax_number": "612-869-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 66TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232371",
            "telephone_number": "612-800-2036",
            "fax_number": "612-869-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCITECH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "ABDISALLAM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-200-9466"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.