Abdishakur Omar Abdulkadir

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2021 E Hennepin Ave Ste 100-2
Minneapolis, MN 55413-2700

Phone

(952) 465-7308

Fax

(612) 345-5170

NPI assigned

Sep 22, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beautiful Minds LLC

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1861153819
  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1043182629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 3RD AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232417",
            "telephone_number": "952-465-7308",
            "fax_number": "612-345-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE STE 100-2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "952-465-7308",
            "fax_number": "612-345-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULKADIR",
        "first_name": "ABDISHAKUR",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saba Rashad Abdulahi
• Safia Abdulahi
• Mike A Abdulhadi, MD
• Abdifatah Said Abdulkadir
• Abdigani Abdulkadir
• Edna Abdulkadir
• Fadumo Omar Abdulkadir
• Mohamed Abdulkadir
• Mohamed O Abdulkadir
• Safa Abukar Abdulkadir, MD

• Behavior Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.