Alpha Autism Center LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

ALPHA AUTISM CENTER LLC

Practice address

600 Twelve Oaks Center Dr Ste 648a
Wayzata, MN 55391-4544

Phone

(651) 208-9451

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Isadin HusseinNPI 1821973967

Title

Owner

Phone

(651) 208-9451

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isadin Ahmed Hussein, DR

  • Behavior Analyst
  • Wayzata, MN
  • NPI 1821973967
  NPD Authorized official
• Hafsa Isadin Ahmed

  • Behavior Technician
  • Farmington, MN
  • NPI 1255221214
  NPD
• Kaisa Mahad Osman

  • Behavior Technician
  • Wayzata, MN
  • NPI 1902793276
  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1194563213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 648A",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914544",
            "telephone_number": "651-208-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 648A",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914544",
            "telephone_number": "651-208-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ISADIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-208-9451"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle L Allen
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• Patricia Fitzgibbons Anderson, MA, LMFT
• William H Anderson, M.D.

• Intellectual & Developmental Disabilities Psychologist in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Intellectual & Developmental Disabilities Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.