Paradise Autism Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PARADISE AUTISM CENTER LLC

Practice address

2722 Park Ave # 116
Minneapolis, MN 55407-1009

Phone

(781) 888-4563

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 2022By 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

Baydan Ali Mohamed

Title

Owner

Phone

(781) 888-4563

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1487381729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 PARK AVE # 116",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071009",
            "telephone_number": "781-888-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 PARK AVE # 116",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071009",
            "telephone_number": "781-888-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "BAYDAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-888-4563"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cloud",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2722 Park Ave # 116",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554071009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Brittany Pape
• Sarah Jean Paper, PSY.D., RDT
• Saikarthik Papisetty
• Mandy Papke, FNP-C
• Tiffany Rose Paradis, M.D.
• Helen Tang Paradise, M.D.
• Kristen N Paradise, LPCC
• Vaughn Aaron Paradise
• Katheryn Paral
• Abhiram Parameswaran Pillai, M.B.B.S

• Adolescent and Children Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.