Organization Active NPI

Ascend Behavioral Health L. L. C.

  • Clinic/Center
  • Plymouth, MN
National Provider Identifier
1598570210
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASCEND BEHAVIORAL HEALTH L. L. C.
Practice address
5055 Fountain LN N
Plymouth, MN 55446-2454
Phone
(309) 585-8712
NPI assigned
Feb 10, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mohamed H Mohamed
Title
Owner
Phone
(309) 585-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5055 Fountain LN N
Plymouth, MN 55446-2454

Mailing address

5055 Fountain LN N
Plymouth, MN 55446-2454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1598570210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 FOUNTAIN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 FOUNTAIN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462454",
            "telephone_number": "309-585-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND BEHAVIORAL HEALTH L. L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-585-8712"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.