McKnight Therapy Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MCKNIGHT THERAPY CENTER

Practice address

373 Pedersen St Ste 104
Saint Paul, MN 55119-4408

Phone

(952) 769-9766

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Ahmed Haybe

Title

Owner

Phone

(952) 769-9766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1881421709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 PEDERSEN ST STE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 PEDERSEN ST STE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194408",
            "telephone_number": "952-769-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKNIGHT THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HAYBE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-769-9766"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Don McKenzie, MSN, APRN, AGACNP-BC
• Channing McKinley, D.C.
• Cathleen M McKinney, CRNA
• Kenneth D McKinney, CRNA
• Meredith Karen McKinnon, LICSW
• Anna Elizabeth McLane, MA, BCBA
• Mary A McLaughlin, CRNA
• Molly Katherine McLaughlin, RN, CPNP
• Diane McLeod
• Sarah McLeod

• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.