Organization Active NPI

Empower Bridge Care Center

  • Behavior Analyst
  • Minneapolis, MN
National Provider Identifier
1518851898
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EMPOWER BRIDGE CARE CENTER
Practice address
1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone
(952) 201-8652
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dooli Moalin
Title
Director
Phone
(952) 201-8652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885

Mailing address

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone (952) 201-8652

National Provider Directory

National Provider Directory

Locations

1330 Lagoon Ave
Fl 4
Minneapolis, MN 55408
Phone (612) 459-7771

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1518851898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "952-201-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "952-201-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER BRIDGE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MOALIN",
        "authorized_official_first_name": "DOOLI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-201-8652"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.