Organization Active NPI

Prime Mental Health LLC

  • Community/Behavioral Health Agency
  • Golden Valley, MN
National Provider Identifier
1194514372
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRIME MENTAL HEALTH LLC
Practice address
1710 Douglas Dr N Ste 225V
Golden Valley, MN 55422-4366
Phone
(507) 202-9779
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Abdulahi Ali Ahmed, BS
Title
Ceo
Phone
(507) 202-9779

Specialties & licenses 1

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

Addresses

Primary practice location

1710 Douglas Dr N Ste 225V
Golden Valley, MN 55422-4366

Mailing address

1710 Douglas Dr N Ste 225V
Golden Valley, MN 55422-4366
Phone (507) 202-9779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1194514372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 225V",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224366",
            "telephone_number": "507-202-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 225V",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224366",
            "telephone_number": "507-202-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDULAHI",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-202-9779",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.