NPIMap

Organization Active NPI

Family Pathway Autism Services Inc

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1689279879
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FAMILY PATHWAY AUTISM SERVICES INC
Practice address
4020 Minnehaha Ave
Ste 2070
Minneapolis, MN 55406
Phone
(619) 817-1931
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Nimo MohamudNPI 1235787946
Title
Owner
Phone
(619) 817-1831

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4020 Minnehaha Ave
Ste 2070
Minneapolis, MN 55406

Mailing address

4020 Minnehaha Ave
Ste 2070
Minneapolis, MN 55406

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL familypathwayautism@gmail.com Direct

National Provider Directory

National Provider Directory

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1689279879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 MINNEHAHA AVE",
            "address_2": "STE 2070",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 MINNEHAHA AVE",
            "address_2": "STE 2070",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "619-817-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PATHWAY AUTISM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "NIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-817-1831"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "familypathwayautism@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4020 Minnehaha Ave Ste 2070",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554064600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 3, 2020; 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.