Organization Active NPI

Step a Head Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1902401128
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
STEP A HEAD HEALTH LLC
Practice address
1609 Chicago Ave Ste 1
Minneapolis, MN 55404-1605
Phone
(602) 386-9307
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Saied Bulqaas
Title
Ceo/Owner
Phone
(602) 386-9307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1609 Chicago Ave Ste 1
Minneapolis, MN 55404-1605

Mailing address

1609 Chicago Ave Ste 1
Minneapolis, MN 55404-1605
Phone (602) 386-9307

National Provider Directory

National Provider Directory

Locations

1609 Chicago Ave
Ste 1
Minneapolis, MN 55404
Phone (602) 386-9307

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1902401128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CHICAGO AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041605",
            "telephone_number": "602-386-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 CHICAGO AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041605",
            "telephone_number": "602-386-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP A HEAD HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "BULQAAS",
        "authorized_official_first_name": "SAIED",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "602-386-9307"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental 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 Dec 3, 2020; 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.