City Clinic Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CITY CLINIC INC

Practice address

4001 Stinson Ave. NE
Unit 318B
Minneapolis, MN 55421

Phone

(612) 598-5148

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Shams Mohamed Ali

Title

President

Phone

(612) 598-5148

Specialties & licenses 2

Addresses

Other names 1

• City Clinic Inc Doing business as

Locations

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1760105910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STINSON AVE. NE",
            "address_2": "UNIT 318B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-598-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON AVE. NE",
            "address_2": "UNIT 318B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-598-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-09-26",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-598-5148",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Josselyn Cisneros Rosero
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• City of Minneapolis
• City Tour Transportatio LLC

• All providers in Minneapolis, MN
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.