Active NPI
Abdihakin O Mohamed
- Behavior Technician
- Maplewood, MN
National Provider Identifier
1316626872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1973 Sloan PL Ste 100
Maplewood, MN 55117-2085 - Phone
- (651) 797-4821
- Fax
- (651) 369-9887
- NPI assigned
- Jul 12, 2023
- 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
1973 Sloan PL Ste 100
Maplewood, MN 55117-2085
Mailing address
1973 Sloan PL Ste 100
Maplewood, MN 55117-2085
Phone (651) 797-4821
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 |
|---|---|---|---|
| Autism Institute of Minnesota LLP | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Maplewood, MN
- NPI 1932821477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1316626872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 SLOAN PL STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172085",
"telephone_number": "651-797-4821",
"fax_number": "651-369-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 SLOAN PL STE 100",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551172085",
"telephone_number": "651-797-4821",
"fax_number": "651-369-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ABDIHAKIN",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.