Organization Active NPI

Hopeful Horizons Behavioral Health Inc

  • Clinic/Center
  • Roseville, MN
National Provider Identifier
1720800808
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOPEFUL HORIZONS BEHAVIORAL HEALTH INC
Practice address
2301 Woodbridge St Ste 201
Roseville, MN 55113-4716
Phone
(408) 680-7447
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Maryam Abdikadir AhmedNPI 1427728104
Title
Owner
Phone
(408) 680-7447

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2301 Woodbridge St Ste 201
Roseville, MN 55113-4716

Mailing address

2301 Woodbridge St Ste 201
Roseville, MN 55113-4716
Phone (408) 680-7447

National Provider Directory

National Provider Directory

Locations

2301 Woodbridge St
Ste 201
Saint Paul, MN 55113
Phone (408) 680-7447

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1720800808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WOODBRIDGE ST STE 201",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134716",
            "telephone_number": "408-680-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WOODBRIDGE ST STE 201",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134716",
            "telephone_number": "408-680-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEFUL HORIZONS BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "ABDIKADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-680-7447"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.