NPIMap

Organization Active NPI

Applied Behavioral Therapy Center LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1144817255
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
APPLIED BEHAVIORAL THERAPY CENTER LLC
Practice address
2006 Portland Ave Apt 356
Minneapolis, MN 55404-2884
Phone
(612) 518-8176
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Sharmarke Alrisak Elmi
Title
Owner
Phone
(612) 518-8176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2006 Portland Ave Apt 356
Minneapolis, MN 55404-2884

Mailing address

2006 Portland Ave Apt 356
Minneapolis, MN 55404-2884

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shsugulle1@yahoo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1144817255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 PORTLAND AVE APT 356",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 PORTLAND AVE APT 356",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042884",
            "telephone_number": "612-518-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "SHARMARKE",
        "authorized_official_middle_name": "ALRISAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-518-8176"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shsugulle1@yahoo.com",
            "affiliation": "N",
            "address_1": "2006 Portland Ave Apt 356",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554042884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 22, 2020; 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.