Active NPI
Childrens Behavioral Center
- Community/Behavioral Health Agency
- Burnsville, MN
National Provider Identifier
1851042980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHILDRENS BEHAVIORAL CENTER
- Practice address
- 2921 Cliff Rd E
Burnsville, MN 55337-3303 - Phone
- (817) 825-7868
- NPI assigned
- Jan 11, 2022
- Organization subpart
- Yes
- Parent organization
- CHILDRENS BEHAVIORAL CENTER - EIDBI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdikarim Barkhdale
- Title
- Owner
- Phone
- (817) 825-7868
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2921 Cliff Rd E
Burnsville, MN 55337-3303
Mailing address
4809 Four Seasons Dr
Eagan, MN 55122-3325
Phone (817) 825-7868
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Behavioral Center
- Part of
- Childrens Behavioral Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Burnsville, MN
- NPI 1295495729
-
- Mental Health Counselor
- Burnsville, MN
- NPI 1851037972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1851042980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 FOUR SEASONS DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223325",
"telephone_number": "817-825-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 CLIFF RD E",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553373303",
"telephone_number": "817-825-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS BEHAVIORAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHILDRENS BEHAVIORAL CENTER - EIDBI",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2021-12-24",
"status": "A",
"authorized_official_last_name": "BARKHDALE",
"authorized_official_first_name": "ABDIKARIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-825-7868"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.