Great Minds Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GREAT MINDS THERAPY LLC

Practice address

333 Washington Ave N Ste 338
Minneapolis, MN 55401-1366

Phone

(612) 703-7058

Fax

(612) 568-9096

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Bisharo Sahal

Title

Ceo

Phone

(612) 703-7058

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1164217600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 338",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011366",
            "telephone_number": "612-703-7058",
            "fax_number": "612-568-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 338",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011366",
            "telephone_number": "612-703-7058",
            "fax_number": "612-568-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MINDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "SAHAL",
        "authorized_official_first_name": "BISHARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-703-7058"
    },
    "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 14, 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.