Active NPI
Proficient Health LLC
- Adolescent and Children Mental Health Clinic/Center
- Golden Valley, MN
National Provider Identifier
1689410326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- PROFICIENT HEALTH LLC
- Practice address
- 2040 Douglas Dr N Ste 100
Golden Valley, MN 55422-3944 - Phone
- (763) 600-9937
- NPI assigned
- Jul 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdullahi Ali
- Title
- Owner
- Phone
- (763) 600-9937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
2040 Douglas Dr N Ste 100
Golden Valley, MN 55422-3944
Mailing address
2040 Douglas Dr N Ste 100
Golden Valley, MN 55422-3944
Phone (763) 600-9937
National Provider Directory
National Provider DirectoryLocations
2040 Douglas Dr N
Ste 100
Golden Valley, MN 55422
Phone (612) 432-8046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719878400000",
"number": "1689410326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 DOUGLAS DR N STE 100",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223944",
"telephone_number": "763-600-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 DOUGLAS DR N STE 100",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223944",
"telephone_number": "763-600-9937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFICIENT HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "ABDULLAHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-600-9937"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.