Brilliant Minds United LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRILLIANT MINDS UNITED LLC

Practice address

1821 University Ave W Ste 107-17
Saint Paul, MN 55104-0049

Phone

(651) 331-9327

NPI assigned

Aug 20, 2024

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ridwan Adan Dayib

Title

Owner

Phone

(651) 331-9327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1558194266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 107-17",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551040049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 107-17",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551040049",
            "telephone_number": "651-331-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT MINDS UNITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "DAYIB",
        "authorized_official_first_name": "RIDWAN",
        "authorized_official_middle_name": "ADAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-331-9327"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Futures Therapy LLC
• Brighter Steps LLC
• Brightly Pharmacy Care Inc
• Brightnest LLC
• Brillant Minds Services
• David M Brings
• McKenzie Sue Brink, OTR/L
• Kayla Noreen Brinkman Theimer, CCC-SLP
• Mark J Briol, CRNA
• Wendy Paola Briones Galindo

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

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

Verify at the official NPI Registry.