NPIMap

Organization Active NPI

Mending Mindsets Inc

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1659027092
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MENDING MINDSETS INC
Practice address
3617 E Lake St Ste H
Minneapolis, MN 55406-2148
Phone
(612) 644-6659
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Fatma AbdullahNPI 1790400638
Title
Owner
Phone
(612) 644-6659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3617 E Lake St Ste H
Minneapolis, MN 55406-2148

Mailing address

1410 Energy Park Dr Ste 11
Saint Paul, MN 55108-5249

National Provider Directory

National Provider Directory

Locations

8055 Ranchers Rd NE
Fridley, MN 55432

3617 E Lake St
Ste H
Minneapolis, MN 55406
Phone (612) 644-6659

Practitioners & affiliated clinicians

Practitioners 1

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1659027092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ENERGY PARK DR STE 11",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 E LAKE ST STE H",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062148",
            "telephone_number": "612-644-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDSETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "FATMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-644-6659"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 4, 2022; 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.