Organization Active NPI

Spectrum Learning Center

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1952127623
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SPECTRUM LEARNING CENTER
Practice address
1330 Lagoon Ave Ste 443
Minneapolis, MN 55408-2885
Phone
(612) 707-4705
NPI assigned
Nov 27, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Shamso Ahmed Hassan, LEVEL 2NPI 1174229439
Title
Ceo/Owner
Phone
(612) 707-4704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1330 Lagoon Ave Ste 443
Minneapolis, MN 55408-2885

Mailing address

1330 Lagoon Ave Ste 443
Minneapolis, MN 55408-2885

National Provider Directory

National Provider Directory

Locations

1330 Lagoon Ave
Ste 443
Minneapolis, MN 55408
Phone (612) 707-4705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1952127623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE STE 443",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE STE 443",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "612-707-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SHAMSO",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-707-4704",
        "authorized_official_credential": "LEVEL 2"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Nov 27, 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.