Active NPI
Nimo Abdi
- Adolescent and Children Mental Health Clinic/Center
- Saint Paul, MN
National Provider Identifier
1801640859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 1083383509
- Practice address
- 2233 University Ave W Ste 201
Saint Paul, MN 55114-1629 - Phone
- (720) 519-9476
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 1083383509 | MN | Primary |
Addresses
Primary practice location
2233 University Ave W Ste 201
Saint Paul, MN 55114-1629
Mailing address
2233 University Ave W Ste 201
Saint Paul, MN 55114-1629
Phone (720) 519-9476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083383509 | MN | MD | Adolescent and Children Mental Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1801640859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 UNIVERSITY AVE W STE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141629",
"telephone_number": "720-519-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 UNIVERSITY AVE W STE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141629",
"telephone_number": "720-519-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDI",
"first_name": "NIMO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MN",
"license": "1083383509",
"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 Apr 16, 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.