Organization Active NPI

Achieve MN LLC

  • Behavior Analyst
  • Bloomington, MN
National Provider Identifier
1831989854
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACHIEVE MN LLC
Practice address
8500 Normandale Lake Blvd Ste 35
Bloomington, MN 55437-3813
Phone
(732) 886-8113
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Malka Nussbaum
Title
Owner
Phone
(732) 886-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

8500 Normandale Lake Blvd Ste 35
Bloomington, MN 55437-3813

Mailing address

126 Melville Ave
Lakewood, NJ 08701-4235
Phone (732) 886-8113

Other names 1

  • Achieve Behavioral Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

8500 Normandale Lake Blvd
Ste 35
Bloomington, MN 55437
Phone (732) 886-8113

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1831989854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MELVILLE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014235",
            "telephone_number": "732-886-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 35",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373813",
            "telephone_number": "732-886-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MALKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-886-8113"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Behavioral Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 12, 2025; 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.