Minnesota Children's Autism Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MINNESOTA CHILDREN'S AUTISM CENTER

Doing business as

Minnesota Children's autism center

Practice address

1901 W 80 1/2 St Unit 308
Bloomington, MN 55431-5107

Phone

(360) 850-5277

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nawal Abdi MursalNPI 1306459656

Title

Therapist

Phone

(360) 850-5277

Specialties & licenses 1

Addresses

Other names 1

• Minnesota Children's autism center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nawal Mursal

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1306459656
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1386426278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W 80 1/2 ST UNIT 308",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315107",
            "telephone_number": "360-850-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W 80 1/2 ST UNIT 308",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315107",
            "telephone_number": "360-850-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CHILDREN'S AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MURSAL",
        "authorized_official_first_name": "NAWAL",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "360-850-5277"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Children's autism center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Therapeutics Care LLC
• Jamie Minette
• Susan E Minette, D.O.
• Kathryn Marie Minkkinen
• Minncare Transportaion
• Minnesota Clinical & Neuropsychological Associates, P.a.
• Minnesota Counseling and Therapy Center
• Minnesota Counseling and Therapy Center, Inc (Sankalpa Therapy and Wellness Center)
• Minnesota Dental Surgery PLLC
• Minnesota Eye Consultants, PA (Eye Care Network)

• Early Intervention Provider Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.