Organization Active NPI

Early Development Institute

  • Developmental - Behavioral Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1023603842
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
EARLY DEVELOPMENT INSTITUTE
Practice address
110 W 26TH St
Minneapolis, MN 55404-4216
Phone
(612) 636-7337
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Guled Mohamoud
Title
Manager
Phone
(612) 636-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU Primary

Addresses

Primary practice location

110 W 26TH St
Minneapolis, MN 55404-4216

Mailing address

110 W 26TH St
Minneapolis, MN 55404-4216
Phone (612) 636-7337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1023603842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 26TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044216",
            "telephone_number": "612-636-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 26TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044216",
            "telephone_number": "612-636-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY DEVELOPMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMOUD",
        "authorized_official_first_name": "GULED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-636-7337"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.