Organization Active NPI

Perfect Balance Autism Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1124777941
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERFECT BALANCE AUTISM CENTER
Practice address
3616 12TH Ave S
Minneapolis, MN 55407-2704
Phone
(612) 276-0652
NPI assigned
Mar 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Abubakar Jeylani
Title
Director
Phone
(612) 388-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3616 12TH Ave S
Minneapolis, MN 55407-2704

Mailing address

3616 12TH Ave S
Minneapolis, MN 55407-2704
Phone (612) 276-0652

National Provider Directory

National Provider Directory

Locations

3616 12th Ave S
Minneapolis, MN 55407
Phone (612) 276-0652

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1124777941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 12TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072704",
            "telephone_number": "612-276-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 12TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072704",
            "telephone_number": "612-276-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT BALANCE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "JEYLANI",
        "authorized_official_first_name": "ABUBAKAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-388-0091"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.