Organization Active NPI

Infinite Autism Support and Services LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1386246056
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INFINITE AUTISM SUPPORT AND SERVICES LLC
Practice address
501 Dale St N Ste 205
Saint Paul, MN 55103-1914
Phone
(612) 346-6053
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Abdirahman Ali
Title
Owner
Phone
(612) 346-6053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

501 Dale St N Ste 205
Saint Paul, MN 55103-1914

Mailing address

501 Dale St N Ste 205
Saint Paul, MN 55103-1914
Phone (612) 346-6053

National Provider Directory

National Provider Directory

Locations

501 Dale St N
Ste 205
Saint Paul, MN 55103
Phone (612) 346-6053

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1386246056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DALE ST N STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031914",
            "telephone_number": "612-346-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DALE ST N STE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031914",
            "telephone_number": "612-346-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE AUTISM SUPPORT AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-346-6053"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 9, 2020; 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.