Organization Active NPI

Childwise Center

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1336036045
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CHILDWISE CENTER
Practice address
3055 Old Highway 8 # 155
Minneapolis, MN 55418-2500
Phone
(612) 836-7788
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Mohamud FarahNPI 1679355739
Title
Owner
Phone
(612) 836-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

3055 Old Highway 8 # 155
Minneapolis, MN 55418-2500

Mailing address

3055 Old Highway 8 # 155
Minneapolis, MN 55418-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1336036045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 # 155",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 # 155",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-836-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDWISE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-836-7788"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Jun 24, 2025; 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.