Active NPI
Hassan Shariff Osman
- Behavior Technician
- Richfield, MN
National Provider Identifier
1912624602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142 - Phone
- (507) 405-6608
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142
Mailing address
7400 Lyndale Ave S Ste 180
Richfield, MN 55423-4142
Phone (507) 405-6608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy MN LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1912624602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 LYNDALE AVE S STE 180",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554234142",
"telephone_number": "507-405-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 LYNDALE AVE S STE 180",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554234142",
"telephone_number": "507-405-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMAN",
"first_name": "HASSAN",
"middle_name": "SHARIFF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.