Organization Active NPI

Childrens Behavioral Center

  • Community/Behavioral Health Agency
  • Burnsville, MN
National Provider Identifier
1851042980
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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 - EIDBIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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)CodeLicenseStatePrimary
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 Center3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.