Healing Autism Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

HEALING AUTISM CENTER

Practice address

2415 Emerson Ave S Ste B1
Minneapolis, MN 55405-6200

Phone

(612) 916-1878

NPI assigned

Apr 30, 2022

Organization subpart

No

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

Authorized official

Name

Mahad Warsame Farah

Title

Ceo

Phone

(612) 916-1878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651276800000",
    "number": "1083359418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S STE B1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554056200",
            "telephone_number": "612-916-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S STE B1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554056200",
            "telephone_number": "612-916-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MAHAD",
        "authorized_official_middle_name": "WARSAME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-916-1878"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.