NPIMap

Organization Active NPI

Spectrum of Light Inc

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1679236293
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM OF LIGHT INC
Practice address
8051 33Rd Ave S Unit 274
Bloomington, MN 55425-5001
Phone
(763) 732-9476
NPI assigned
Oct 20, 2021
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Hamdi D AraleNPI 1821737990
Title
Executive Director
Phone
(612) 401-1173

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8051 33Rd Ave S Unit 274
Bloomington, MN 55425-5001

Mailing address

1325 American Blvd E Ste 5a
Bloomington, MN 55425-1152
Phone (612) 323-0157

National Provider Directory

National Provider Directory

Locations

1325 American Blvd E
Ste 5A
Bloomington, MN 55425
Phone (612) 401-1173

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1679236293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AMERICAN BLVD E STE 5A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251152",
            "telephone_number": "612-323-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 33RD AVE S UNIT 274",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554255001",
            "telephone_number": "763-732-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF LIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ARALE",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-401-1173"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.