Community Mental Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COMMUNITY MENTAL HEALTH LLC

Practice address

2533 24TH Ave S
Ste 2
Minneapolis, MN 55406-4127

Phone

(612) 210-0377

NPI assigned

Jan 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Abib Musse

Title

Owner

Phone

(612) 309-4689

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420243200000",
    "number": "1972991669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 24TH AVE S",
            "address_2": "STE 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064127",
            "telephone_number": "612-210-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 24TH AVE S",
            "address_2": "STE 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064127",
            "telephone_number": "612-210-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2015-01-03",
        "status": "A",
        "authorized_official_last_name": "MUSSE",
        "authorized_official_first_name": "ABIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-309-4689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; 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.