NPIMap

Organization Active NPI

Hidaya Center

  • Adolescent and Children Mental Health Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1043082811
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
HIDAYA CENTER
Practice address
4111 Central Ave NE Ste 208E
Columbia Heights, MN 55421-2989
Phone
(612) 226-9300
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Khadra AhmedNPI 1982312732
Title
Manager Director
Phone
(612) 226-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4111 Central Ave NE Ste 208E
Columbia Heights, MN 55421-2989

Mailing address

4111 Central Ave NE Ste 208E
Columbia Heights, MN 55421-2989

National Provider Directory

National Provider Directory

Locations

4111 Central Ave NE
Ste 208E
Columbia Heights, MN 55421
Phone (612) 226-9300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1043082811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 208E",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 208E",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212989",
            "telephone_number": "612-226-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDAYA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "KHADRA",
        "authorized_official_title_or_position": "MANAGER DIRECTOR",
        "authorized_official_telephone_number": "612-226-9300"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.