Unique Minds Autism Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

UNIQUE MINDS AUTISM CENTER LLC

Practice address

2147 Bay Dr
Hugo, MN 55038-4690

Phone

(612) 810-9379

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Istahil Ali

Title

Owner

Phone

(612) 801-9379

Specialties & licenses 1

Addresses

Practitioners 1

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

• David Bob Riley

  • Mental Health Counselor
  • Brooklyn Park, MN
  • NPI 1861369126
  NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1902613144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 BAY DR",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 BAY DR",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384690",
            "telephone_number": "612-810-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE MINDS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ISTAHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-801-9379"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Marie Thibault
• Sienna S Thibodeau
• Audrey Anna Thomas
• Thrive Psychotherapy Services
• Melissa Traxler
• Alexandra Francesca Vanegas
• Manee Vang
• Jessica Vaudrin
• Tyler Joseph Villegas
• Mariah Rose Warner

• Early Intervention Provider Agency in Hugo, MN
• Providers in Hugo, 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 Dec 11, 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.