Organization Active NPI

Northern Autism Center

  • Adolescent and Children Mental Health Clinic/Center
  • New Brighton, MN
National Provider Identifier
1952997918
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
NORTHERN AUTISM CENTER
Practice address
888 County Road D W Unit 120
New Brighton, MN 55112-7593
Phone
(612) 735-1823
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Abdullahi Aden
Title
Director
Phone
(612) 735-1823

Specialties & licenses 1

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

Addresses

Primary practice location

888 County Road D W Unit 120
New Brighton, MN 55112-7593

Mailing address

888 County Road D W Unit 120
New Brighton, MN 55112-7593
Phone (612) 735-1823

National Provider Directory

National Provider Directory

Locations

888 County Road D W
Ste 120
New Brighton, MN 55112
Phone (612) 735-1823

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1952997918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 COUNTY ROAD D W UNIT 120",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127593",
            "telephone_number": "612-735-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 COUNTY ROAD D W UNIT 120",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127593",
            "telephone_number": "612-735-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-735-1823"
    },
    "taxonomies": [
        {
            "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 New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.