Saint Paul Autism Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAINT PAUL AUTISM CENTER

Practice address

1400 Interlachen Cir
Saint Paul, MN 55125-8859

Phone

(651) 703-5574

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Ahmed Mahfouz

Title

Ceo

Phone

(651) 329-7465

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720310400000",
    "number": "1649013079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 INTERLACHEN CIR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551258859",
            "telephone_number": "651-703-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 INTERLACHEN CIR",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551258859",
            "telephone_number": "651-703-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PAUL AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "MAHFOUZ",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-329-7465"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, 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 Jul 7, 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.