Avivo

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AVIVO

Doing business as

Spectrum Community Mental Health

Practice address

1825 Chicago Ave
Minneapolis, MN 55404-1939

Phone

(612) 752-8200

Fax

(612) 752-8201

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Matter

Title

Ceo

Phone

(612) 752-8204

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spectrum Community Mental Health Doing business as

Tax ID family

Avivo9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Avivo

  dba Spectrum Community Mental Health

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1548315880
  NPD tax ID
• Avivo

  dba Recovery Resource Center

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1629122924
  NPD tax ID
• Avivo

  dba Spectrum Community Mental Health

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1982875571
  NPD tax ID
• Resource, Inc.

  dba Spectrum Community Mental Health

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1184779423
  NPD tax ID
• Resource, Inc.

  dba Spectrum Community Mental Health

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1275688517
  NPD tax ID
• Resource, Inc.

  dba Minnesota Resource Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1316257546
  NPD tax ID
• Resource, Inc.

  dba Minnesota Resource Center

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1427195825
  NPD tax ID
• Resource, Inc.

  dba Spectrum Community Mental Health

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1447305784
  NPD tax ID

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1851446280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041903",
            "telephone_number": "612-752-8000",
            "fax_number": "612-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041939",
            "telephone_number": "612-752-8200",
            "fax_number": "612-752-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "MATTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-752-8204"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135355101",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Community Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl R. Avina, M.ED.
• Aviv Health Care, Inc. (Bryn Mawr Health Care Center)
• Aviva Therapy & Healing
• Avivo (Spectrum Community Mental Health)
• Avivo (Recovery Resource Center)
• Avivo (Spectrum Community Mental Health)
• Sreekant Avula, M.D.
• Awac Interpreter Services, LLC
• Amro Hamdan Mahmoud Awad, M.D.
• Chantal Awad

• Case Management Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.