Scitech Academy

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

Organization subpart

No

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

Authorized official

Name

Abdisallam Ahmed Abdulle

Title

Exective Director

Phone

(612) 200-9466

Specialties & licenses 1

Addresses

Locations

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": []
}

• Payton Anna Schneider
• Katherine M Schnuck
• Elizabeth Schorn, PT
• Annemarie Guilette Kunkel Schuchard
• Eden Clare Schultz
• Kirsten M Scott, O.D.
• Rachel A Sell, LSW
• Meron Senbeta, LPCC, MA
• Sentialcare Health Center LLC
• Karimah Z Shabazz, DPM

• Developmental Disabilities Clinic/Center in Richfield, MN
• Providers in Richfield, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• 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.