Organization Active NPI

Step Academy

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1700337607
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STEP ACADEMY
Practice address
835 5TH St E
Saint Paul, MN 55106-5199
Phone
(651) 289-6120
Fax
(651) 457-4692
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Mustafa Ibrahim
Title
Director
Phone
(651) 289-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

835 5TH St E
Saint Paul, MN 55106-5199

Mailing address

835 5TH St E
Saint Paul, MN 55106-5199
Phone (651) 289-6120

National Provider Directory

National Provider Directory

Locations

835 5th St E
Saint Paul, MN 55106
Phone (651) 289-6120

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1700337607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 5TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065199",
            "telephone_number": "651-289-6120",
            "fax_number": "651-457-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 5TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065199",
            "telephone_number": "651-289-6120",
            "fax_number": "651-457-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-289-6120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.