Organization Active NPI

Proficient Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1689410326
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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

Updated by the provider on Jul 2, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.