Southdale Therapy Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SOUTHDALE THERAPY CENTER LLC

Practice address

7101 York Ave S Ste 250
Minneapolis, MN 55435-4509

Phone

(612) 479-0327

NPI assigned

Mar 26, 2025

Organization subpart

No

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

Authorized official

Name

Yahye A Mohamed

Title

Organizer

Phone

(612) 479-0327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1891597233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554354509",
            "telephone_number": "763-898-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554354509",
            "telephone_number": "612-479-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHDALE THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YAHYE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "612-479-0327"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Metro Human Services- Fact
• South Minneapolis Meals on Wheels
• South Minneapolis Psychotherapy
• South Minneapolis Walk-in Clinic LLC
• Southdale Allergy and Asthma Clinic, LLC
• Southeast Asian Refugee Community Home
• Southgate Physical Therapy , LTD
• Southpointe Physical Therapy LLC
• Southside Care Center
• Southside Catering

• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Mar 26, 2025; 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.