Emerge Support Services, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EMERGE SUPPORT SERVICES, INC.

Practice address

2233 Hamline Ave N Ste 217
Saint Paul, MN 55113-5004

Phone

(651) 500-1449

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Rabiic Omar

Title

Owner & Ceo

Phone

(651) 703-8410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerge Support Services, Inc. Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1356919328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551135004",
            "telephone_number": "651-500-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551135004",
            "telephone_number": "651-500-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "RABIIC",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "651-703-8410"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH -OUT PATIENT",
            "identifier": "1234567",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EmergeSupportServicesInc",
            "affiliation": "N",
            "endpointDescription": "Procentive",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2233 Hamline Ave N Ste 217",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551135004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emerge Support Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerge Support Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.