Neurodiver-City LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

NEURODIVER-CITY LLC

Practice address

406 2ND Ave E
Shakopee, MN 55379-1510

Phone

(651) 249-6739

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Christy Carpenter

Title

Operations Officer

Phone

(651) 249-6739

Specialties & licenses 1

Addresses

Other names 1

• Neurodiver-City Doing business as

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1073319737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 2ND AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791510",
            "telephone_number": "651-249-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 2ND AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791510",
            "telephone_number": "651-249-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVER-CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "651-249-6739"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurodiver-City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Living LLC
• Gustavo H Navarrete
• Beth E Nelson, CRNA
• Jaymi Nelson, BCBA
• Sheila Neurauter, LICSW
• Neve Inc
• New Dawn LLC
• Brenda Ngatia
• Brandon Nhat Nguyen, D.O.
• Mien Hai Nguyen, D.O.

• Behavior Analyst in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.