Organization Active NPI

Metropolitan Health Services LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1265115117
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
METROPOLITAN HEALTH SERVICES LLC.
Practice address
924 19TH Ave S
Minneapolis, MN 55404-2202
Phone
(612) 999-3646
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Khadija Abdisamed Yassin, SOCIAL WORKER LGSW
Title
Owner
Phone
(612) 999-3646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

924 19TH Ave S
Minneapolis, MN 55404-2202

Mailing address

924 19TH Ave S
Minneapolis, MN 55404-2202
Phone (612) 999-3646

National Provider Directory

National Provider Directory

Locations

924 19th Ave S
Minneapolis, MN 55404
Phone (612) 999-3646

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1265115117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 19TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042202",
            "telephone_number": "612-999-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 19TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042202",
            "telephone_number": "612-999-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HEALTH SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "ABDISAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-999-3646",
        "authorized_official_credential": "SOCIAL WORKER LGSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 2023; 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.