Minnesota Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINNESOTA BEHAVIORAL SERVICES LLC

Practice address

1007 W Broadway Ave # 100
Minneapolis, MN 55411-2503

Phone

(612) 524-8828

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By 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

Abdirizak Shariff AhmedNPI 1679948186

Title

President

Phone

(612) 524-8828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdirizak Shariff Ahmed

  • Non-emergency Medical Transport (VAN)
  • St Anthony, MN
  • NPI 1679948186
  NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1629663067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W BROADWAY AVE # 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112503",
            "telephone_number": "612-524-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W BROADWAY AVE # 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112503",
            "telephone_number": "612-524-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_middle_name": "SHARIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-524-8828"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Minnema, DNP, APRN, CPNP-PC
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• Minnesota Birth Center
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• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.