Organization Active NPI

Blue Sky Autism Center LLC

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1568351971
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BLUE SKY AUTISM CENTER LLC
Practice address
1405 Lilac Dr N Ste 250F
Minneapolis, MN 55422-4535
Phone
(619) 639-3009
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Siham Salim Said
Title
Ceo
Phone
(619) 639-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1405 Lilac Dr N Ste 250F
Minneapolis, MN 55422-4535

Mailing address

1405 Lilac Dr N Ste 250F
Minneapolis, MN 55422-4535
Phone (619) 639-3009

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
Ste 250F
Minneapolis, MN 55422
Phone (619) 639-3009

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1568351971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 250F",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "619-639-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 250F",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "619-639-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "SIHAM",
        "authorized_official_middle_name": "SALIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-639-3009"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Jul 1, 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.