Shining Minds Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHINING MINDS INC

Practice address

10700 Lyndale Ave S Ste 100a
Bloomington, MN 55420-5641

Phone

(619) 841-8488

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Abdirahim Ali Abdalla

Title

Owner

Phone

(619) 841-8488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1023904604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 LYNDALE AVE S STE 100A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205641",
            "telephone_number": "619-841-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 LYNDALE AVE S STE 100A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205641",
            "telephone_number": "619-841-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING MINDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "ABDIRAHIM",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-841-8488"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.