Spectrum Roots LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPECTRUM ROOTS LLC

Practice address

1710 Douglas Dr N Ste 111
Golden Valley, MN 55422-4397

Phone

(612) 512-9600

NPI assigned

May 5, 2025

Organization subpart

No

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

Authorized official

Name

Issa Hussein

Title

Owner

Phone

(612) 512-9600

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Yahya Ahmed

  • Behavior Technician
  • Burnsville, MN
  • NPI 1497617179
  NPD
• Najma Abdishakoor

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1639025372
  NPD (past)
• Issa Hussien

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1477413375
  NPD (past)
• Amal Roble

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1255293098
  NPD (past)

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1447049531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 111",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 111",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224397",
            "telephone_number": "612-512-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-512-9600"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldon Soderberg, PT
• Sandra Soderberg, PT
• Andrew Yu Song, L.AC.
• Soul Centered Therapy, LLC
• Madeleine Spalding, LADC
• Kara Jo Speidel, MSOTR/L
• Judith Ann Sperling, DPM
• Spring Gate Health, LLC
• Joseph R Spurlock, MD
• Jordan Elizabeth Stafford, DC

• Early Intervention Provider Agency in Golden Valley, MN
• Providers in Golden Valley, 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 Jan 29, 2026; 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.