Mohamed Isse Omar

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

W000-137481400 Issued in MN

Practice address

5122 Churchill LN # 18
Middleton, WI 53562-2124

Phone

(612) 258-5793

NPI assigned

Aug 28, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1255249678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 CHURCHILL LN # 18",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622124",
            "telephone_number": "612-258-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 CHURCHILL LN # 18",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622124",
            "telephone_number": "612-258-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "MOHAMED",
        "middle_name": "ISSE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MN",
            "license": "W000-137481400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia O'Reilly
• Paige Olivia Oehlhof, RDN
• Jeffrey M Olson II, BS, MOP
• Pamela A Olson, MD
• Caryn Lea Olyver, LMT
• Madalyn Ortiz, PT, DPT
• Pallett Chiropractic, LLC
• Steven James Pallett, DC
• Kaaren S Paras, DC
• Richard Carl Parfitt II, M.D.

• Intellectual & Developmental Disabilities Psychologist in Middleton, WI
• Providers in Middleton, WI by specialty
• Intellectual & Developmental Disabilities Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.