Kaysin Hadija Birik

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4001 Stinson Blvd Ste 314
Minneapolis, MN 55421-3424

Phone

(612) 298-7636

Fax

(612) 298-7636

NPI assigned

Mar 14, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1720736275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CUSHING CIR APT 118",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085015",
            "telephone_number": "952-652-3298",
            "fax_number": "612-354-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD STE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213424",
            "telephone_number": "612-298-7636",
            "fax_number": "612-298-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRIK",
        "first_name": "KAYSIN",
        "middle_name": "HADIJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birchwood Dental of Minneapolis
• Andrea Nicole Bird
• John Bird, MD
• Julia Sarah Birdsall
• Debora Lynn Birgin, LICSW
• Mark P Birkenbach, MD
• Bassim Samadani Birkland, M.D, M.P.H
• Michelle Biros
• Aziza Hallal Bisanz, LICSW
• Jennifer Ann Bisbee, PTA

• Behavior Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.