Sherburne Recovery Services LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SHERBURNE RECOVERY SERVICES LLC

Practice address

418 Sherburne Ave
Saint Paul, MN 55103-1941

Phone

(612) 819-4966

NPI assigned

Dec 23, 2025

Organization subpart

No

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

Authorized official

Name

Abdirihaman Ahmed Qadi

Title

Ceo

Phone

(763) 647-8161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1497610216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 FOSS RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214513",
            "telephone_number": "612-819-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHERBURNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031941",
            "telephone_number": "612-819-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERBURNE RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "QADI",
        "authorized_official_first_name": "ABDIRIHAMAN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-647-8161"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley S. Berven and Associates, LLC
• Jonathan David Shelver, M.D.
• Katherine Marie Shephard, PT, DPT
• Megan Shepherd, PT
• Molly Young Sheppard, LICSW
• Kevin J Sheridan, MD
• Gayle Sherman Crandell, M.A.
• Cindy Sherman
• Cynthia A Sherman, MD
• Jennifer Lyn Sherman, PT

• Mental Illness Community Based Residential Treatment Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.