Wise Autism Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

WISE AUTISM INC

Practice address

1117 Marquette Ave Apt 1308
Minneapolis, MN 55403-2499

Phone

(651) 223-9868

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Warsan A Farah, CERTIFICARE

Title

Ceo

Phone

(651) 223-9868

Specialties & licenses 1

Addresses

Other names 1

• WISE AUTISM INC Doing business as

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1831837590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MARQUETTE AVE APT 1308",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032499",
            "telephone_number": "651-223-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MARQUETTE AVE APT 1308",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032499",
            "telephone_number": "651-223-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE AUTISM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "WARSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-223-9868",
        "authorized_official_credential": "CERTIFICARE"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISE AUTISM INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Wippler
• Susan Wipson, RN
• Jena Nicole Wirt, DO
• Amanda Adell Wirth, LMFT
• Molly Wirtz, CPNP
• Wise HHC
• Wise Home Health Care, Inc.
• Wise Transportation
• Eric Stephen Wise, M.D.
• Erin Elizabeth Wise, M.D.

• Developmentally Disabled Services Day Training Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Developmentally Disabled Services Day Training Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.