Organization Active NPI

Uprise Spectrum Care

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1205649365
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPRISE SPECTRUM CARE
Doing business as
Uprise Spectrum Care
Practice address
1702 Nicollet Ave Apt 424
Minneapolis, MN 55403-2872
Phone
(612) 791-9310
NPI assigned
Jan 30, 2025
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Jafar Ismail
Title
Excutive Director
Phone
(612) 791-9310

Specialties & licenses 1

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

Addresses

Primary practice location

1702 Nicollet Ave Apt 424
Minneapolis, MN 55403-2872

Mailing address

1702 Nicollet Ave Apt 424
Minneapolis, MN 55403-2872
Phone (612) 791-9310

Other names 1

  • Uprise Spectrum Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1205649365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 NICOLLET AVE APT 424",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032872",
            "telephone_number": "612-791-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 NICOLLET AVE APT 424",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032872",
            "telephone_number": "612-791-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISE SPECTRUM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-791-9310"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uprise Spectrum Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 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.