Shifa Metro Clinic PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SHIFA METRO CLINIC PLLC

Practice address

5270 W 84TH St Ste 370
Bloomington, MN 55437-1377

Phone

(952) 395-5222

Fax

(952) 395-5333

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Abdirizak Nuno, MDNPI 1811316730

Title

Owner/Provider

Phone

(952) 395-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Abdirizak Nuno, MD.

  • Psychiatry Physician
  • Bloomington, MN
  • NPI 1811316730
  Medicare reassignment NPD Authorized official
• Muna Nur Farah, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1487423653
  NPD
• Shirlynn MC Neil La Chapelle, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Bloomington, MN
  • NPI 1306593710
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1508443144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 W. 84TH STREET",
            "address_2": "SUITE 370",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371377",
            "telephone_number": "952-395-5222",
            "fax_number": "952-395-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 W 84TH ST STE 370",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371377",
            "telephone_number": "952-395-5222",
            "fax_number": "952-395-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA METRO CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "NUNO",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "952-395-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "61163",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sureya Sheriff
• Chelsea Sherman, LICSW
• Hannah Sherman
• Jody Sherman, PA-C
• Shawn Alonzo Sherman, ATC
• Birhanu Abera Shiferaw
• Shining Minds Inc
• Muna Shire
• Erin Elizabeth Shobe, M.A., LMFT
• Elizabeth S Shogren

• Psychiatry Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.