Active NPI
Healing Autism Spectrum
- Community/Behavioral Health Agency
- Saint Cloud, MN
National Provider Identifier
1508621913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEALING AUTISM SPECTRUM
- Practice address
- 3400 1St St N Ste 303
Saint Cloud, MN 56303-1927 - Phone
- (612) 597-8712
- NPI assigned
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hawo Yussuf
- Title
- Owner
- Phone
- (612) 597-8712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3400 1St St N Ste 303
Saint Cloud, MN 56303-1927
Mailing address
3400 1St St N Ste 303
Saint Cloud, MN 56303-1927
Phone (612) 597-8712
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1508621913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 1ST ST N STE 303",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031927",
"telephone_number": "612-597-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 1ST ST N STE 303",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563031927",
"telephone_number": "612-597-8712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING AUTISM SPECTRUM",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "YUSSUF",
"authorized_official_first_name": "HAWO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-597-8712"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.