Shifa Autism Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHIFA AUTISM CENTER LLC

Practice address

3352 Sherman CT Ste 202
Eagan, MN 55121-5504

Phone

(651) 329-2798

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Yasmiin Abdilahi

Title

Owner

Phone

(651) 329-2798

Specialties & licenses 1

Addresses

Other names 1

• SHIFA AUTISM CENTER LLC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gulleid Rashid Abdi

  • Behavior Technician
  • Eagan, MN
  • NPI 1699631986
  NPD
• Hodan Rashid Abdi

  • Behavior Technician
  • Eagan, MN
  • NPI 1184430290
  NPD
• Jennifer Buenaflor Servidad

  • Registered Nurse
  • Eagan, MN
  • NPI 1114801172
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1265140644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 SHERMAN CT STE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215504",
            "telephone_number": "651-329-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 SHERMAN CT STE 202",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215504",
            "telephone_number": "651-329-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "ABDILAHI",
        "authorized_official_first_name": "YASMIIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-329-2798"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIFA AUTISM CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHIFA AUTISM CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bahjo Mohamed Sheikhnoor
• Corbett Ellis Shelton, M.D.
• Samuel Adam Sherer
• Emily Elizabeth Sherman
• Erin Margaret-Campell Shields, DMFT
• Shifa Mental Health Services PLLC
• John Robert Shirriff, MD
• Jokotade Monsurat Shonibare, MA, LAMFT
• Jori L Shore
• Sonja Sue Short, MD

• All providers in Eagan, MN
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.