Organization Active NPI

Priomh Healing Services Inc

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1679114144
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PRIOMH HEALING SERVICES INC
Doing business as
N/A
Practice address
2104 Park Ave
Minneapolis, MN 55404-6607
Phone
(952) 649-0512
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Faisal Aideed
Title
Owner
Phone
(952) 649-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2104 Park Ave
Minneapolis, MN 55404-6607

Mailing address

2104 Park Ave
Minneapolis, MN 55404-6607
Phone (952) 649-0512

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1679114144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "952-649-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "952-649-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIOMH HEALING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "AIDEED",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-649-0512"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2019; 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.