Minneapolis Autism Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MINNEAPOLIS AUTISM CENTER LLC

Practice address

2100 1St Avenue South
Ste 101
Minneapolis, MN 55404-2552

Phone

(612) 999-5829

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Suleban Mohamoud Hussein

Title

Ceo

Phone

(612) 999-5829

Specialties & licenses 1

Addresses

Other names 1

• MINNEAPOLIS AUTISM CENTER LLC Doing business as

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1487400628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NICOLLET AVE STE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 1ST AVENUE SOUTH",
            "address_2": "STE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042552",
            "telephone_number": "612-999-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "SULEBAN",
        "authorized_official_middle_name": "MOHAMOUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-999-5829"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINNEAPOLIS AUTISM CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MINNEAPOLIS AUTISM CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saige Genevieve Minkler
• Minncare Physical Therapy Inc
• Minneapolis Academy
• Minneapolis American Indian Center
• Minneapolis Autism Center Corp
• Minneapolis Bariatric Surgeons, PA
• Minneapolis Childrens Hospital
• Minneapolis Dental
• Minneapolis Dental Associates, PLLC
• Minneapolis Dental Professionals LLC

• Developmental Disabilities Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.