Organization Active NPI

Submerge in Sensory

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1871276261
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUBMERGE IN SENSORY
Practice address
210 19TH Ave NE
Minneapolis, MN 55418-4312
Phone
(612) 212-9918
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Najma Abdiwahab Omar
Title
Founder
Phone
(612) 212-9918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

210 19TH Ave NE
Minneapolis, MN 55418-4312

Mailing address

210 19TH Ave NE
Minneapolis, MN 55418-4312
Phone (612) 212-9918

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1871276261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 19TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184312",
            "telephone_number": "612-212-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 19TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184312",
            "telephone_number": "612-212-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBMERGE IN SENSORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "NAJMA",
        "authorized_official_middle_name": "ABDIWAHAB",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "612-212-9918"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.