NPIMap

Organization Active NPI

Bright Mind Services

  • Early Intervention Provider Agency
  • Edina, MN
National Provider Identifier
1649955261
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BRIGHT MIND SERVICES
Practice address
3200 Southdale Cir Apt 308
Edina, MN 55435-5166
Phone
(763) 600-4133
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Sadik Abdulkadir Haji
Title
Owner
Phone
(763) 600-4133

Specialties & licenses 1

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

Addresses

Primary practice location

3200 Southdale Cir Apt 308
Edina, MN 55435-5166

Mailing address

3200 Southdale Cir Apt 308
Edina, MN 55435-5166
Phone (763) 600-4133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1649955261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOUTHDALE CIR APT 308",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355166",
            "telephone_number": "763-600-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOUTHDALE CIR APT 308",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355166",
            "telephone_number": "763-600-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MIND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "SADIK",
        "authorized_official_middle_name": "ABDULKADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-600-4133"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.