NPIMap

Organization Active NPI

Just Kids Autism Center

Doing business as Jkac

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1205654399
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JUST KIDS AUTISM CENTER
Doing business as
Jkac
Practice address
2233 University Ave W Ste 210
Saint Paul, MN 55114-1698
Phone
(720) 519-9476
NPI assigned
Sep 28, 2024
Last updated
Sep 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Authorized official

Name
Saron Leul
Title
Program Director
Phone
(720) 519-9476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

2233 University Ave W Ste 210
Saint Paul, MN 55114-1698

Mailing address

2233 University Ave W Ste 210
Saint Paul, MN 55114-1698
Phone (720) 519-9476

Other names 1

  • JKAC Doing business as

National Provider Directory

National Provider Directory

Locations

2233 University Ave W
Ste 210
Saint Paul, MN 55114
Phone (651) 493-3945

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1205654399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 UNIVERSITY AVE W STE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141698",
            "telephone_number": "720-519-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 UNIVERSITY AVE W STE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141698",
            "telephone_number": "720-519-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "LEUL",
        "authorized_official_first_name": "SARON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "720-519-9476"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JKAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.