Active NPI
Habon Mohamed Aden
- Health Service Psychologist
- Bloomington, MN
National Provider Identifier
1821694753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Practice address
- 9700 International Dr Suite 300
Bloomington, MN 55425 - Phone
- (763) 807-7326
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Primary |
Addresses
Primary practice location
9700 International Dr Suite 300
Bloomington, MN 55425
Mailing address
9700 International Dr Suite 300
Bloomington, MN 55425
Phone (763) 807-7326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1821694753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 INTERNATIONAL DR SUITE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55425",
"telephone_number": "763-807-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 INTERNATIONAL DR SUITE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55425",
"telephone_number": "763-807-7326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEN",
"first_name": "HABON",
"middle_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "9700 International Dr Suite 300",
"city": "Bloomington",
"state": "MN",
"country_code": "US",
"postal_code": "55425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.