Organization Active NPI

Ubbad LLC

  • Developmentally Disabled Services Day Training Agency
  • Saint Cloud, MN
National Provider Identifier
1932733284
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UBBAD LLC
Practice address
50 28TH Ave N Ste 50
Saint Cloud, MN 56303-4241
Phone
(612) 876-6681
NPI assigned
Feb 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Authorized official

Name
Hassan Hassan
Title
Manager
Phone
(612) 876-6681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

50 28TH Ave N Ste 50
Saint Cloud, MN 56303-4241

Mailing address

4111 Central Ave NE Ste 205
Columbia Heights, MN 55421-2956
Phone (612) 876-6681

Other practice location 1

4111 Central Ave NE Ste 205
Columbia Heights, MN 55421-2956
Phone (612) 876-6681

Other names 1

  • UBBAD BEHAVIORAL SERVICES Other name

National Provider Directory

National Provider Directory

Locations

4111 Central Ave NE
Ste 205
Columbia Heights, MN 55421
Phone (612) 876-6681

50 28th Ave N
Ste 50
Saint Cloud, MN 56303
Phone (612) 876-6681

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1932733284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 205",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212956",
            "telephone_number": "612-876-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 28TH AVE N STE 50",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034241",
            "telephone_number": "612-876-6681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Central Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Columbia Heights",
            "state": "MN",
            "postal_code": "554212956",
            "country_code": "US",
            "telephone_number": "612-876-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UBBAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-876-6681"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UBBAD BEHAVIORAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.