Organization Active NPI

Child Friendly Space

  • Early Intervention Provider Agency
  • Saint Paul, MN
National Provider Identifier
1316528755
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CHILD FRIENDLY SPACE
Doing business as
CFS
Practice address
1821 University Ave W Ste 149
Saint Paul, MN 55104-2891
Phone
(651) 203-7960
Fax
(651) 340-4768
NPI assigned
Apr 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Authorized official

Name
Kamal Abdi Mohamed
Title
Manager
Phone
(651) 203-7960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1821 University Ave W Ste 149
Saint Paul, MN 55104-2891

Mailing address

1821 University Ave W Ste 149
Saint Paul, MN 55104-2891
Phone (651) 203-7960

Other names 1

  • CFS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1316528755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "651-203-7960",
            "fax_number": "651-340-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "651-203-7960",
            "fax_number": "651-340-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD FRIENDLY SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-203-7960"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFS",
            "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 Apr 17, 2021; 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.