Minnesota Behavioral Resources LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

785535400022 Issued in MN

Legal business name

MINNESOTA BEHAVIORAL RESOURCES LLC

Practice address

8441 Wayzata Blvd Ste 118
Golden Valley, MN 55426-1349

Phone

(763) 913-8054

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Faysal Sayid

Title

Ceo

Phone

(763) 913-8054

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1679951669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 118",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261349",
            "telephone_number": "763-913-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 118",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261349",
            "telephone_number": "763-913-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA BEHAVIORAL RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SAYID",
        "authorized_official_first_name": "FAYSAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-913-8054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "785535400022",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.