Organization Active NPI

River Health LLC

  • Cognitive & Behavioral Psychologist
  • Minneapolis, MN
National Provider Identifier
1528653318
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
RIVER HEALTH LLC
Practice address
1516 W Lake St Ste 110
Minneapolis, MN 55408-2554
Phone
(612) 345-7206
Fax
(612) 465-4002
NPI assigned
Mar 4, 2021
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Abdiaziz Hassan Hadji
Title
Owner
Phone
(612) 345-7206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary

Addresses

Primary practice location

1516 W Lake St Ste 110
Minneapolis, MN 55408-2554

Mailing address

1516 W Lake St Ste 110
Minneapolis, MN 55408-2554
Phone (612) 345-7206

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
Ste 210
Golden Valley, MN 55422
Phone (952) 686-4120

2915 Wayzata Blvd
Ste 104
Minneapolis, MN 55405

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1528653318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST STE 110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554",
            "telephone_number": "612-345-7206",
            "fax_number": "612-465-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W LAKE ST STE 110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082554",
            "telephone_number": "612-345-7206",
            "fax_number": "612-465-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "HADJI",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-345-7206"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "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 Feb 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.