Organization Active NPI

Sweet Spectrum Therapy LLC

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1013700921
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SWEET SPECTRUM THERAPY LLC
Practice address
8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805
Phone
(507) 469-2025
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Iman Yusuf
Title
Director
Phone
(507) 469-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805

Mailing address

8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805
Phone (507) 469-2025

National Provider Directory

National Provider Directory

Locations

8500 Normandale Lake Blvd
Ste 350
Minneapolis, MN 55437
Phone (612) 314-8904

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1013700921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373805",
            "telephone_number": "507-469-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373805",
            "telephone_number": "507-469-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SPECTRUM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-469-2025"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.