Golden Kids Behavioral Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOLDEN KIDS BEHAVIORAL THERAPY LLC

Practice address

4001 Stinson Blvd NE Ste 314
Minneapolis, MN 55421-3424

Phone

(651) 367-9613

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Susan Abi

Title

Owner

Phone

(651) 367-9613

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1750004552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD NE STE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD NE STE 314",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213424",
            "telephone_number": "651-367-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN KIDS BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "ABI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-367-9613"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sora Leah Goldberg
• Golden Day Services Corp
• Golden Health LLC
• Golden Hope Therapy Services LLC
• Golden Jubilee Healthcare Inc.
• Golden Valley Support Services LLC
• Golden Wellness Center LLC
• Golden Years Center Inc
• Deirdre Ammie Golden, PHD LP
• Erin C Golden, MD

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.