Active NPI
Amos Manneh
- Behavior Technician
- Minneapolis, MN
National Provider Identifier
1295317212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2021 E Hennepin Ave Ste 360
Minneapolis, MN 55413-1830 - Phone
- (612) 354-2962
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave Ste 360
Minneapolis, MN 55413-1830
Mailing address
5701 Shingle Creek Pkwy Ste 661
Brooklyn Center, MN 55430-2486
Phone (952) 303-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Therapeutic Services LLC | Current | Accepting new patients |
Locations
5701 Shingle Creek Pkwy
Ste 661
Minneapolis, MN 55430
Phone (612) 402-0852
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1326556143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1295317212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 SHINGLE CREEK PKWY STE 661",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302486",
"telephone_number": "952-303-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 360",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131830",
"telephone_number": "612-354-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNEH",
"first_name": "AMOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"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 Jan 22, 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.