Active NPI
Sadak Mohamed
- Behavior Technician
- Oakdale, MN
National Provider Identifier
1982305215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7835 3Rd St N Ste 108
Oakdale, MN 55128-5445 - Phone
- (651) 666-1267
- NPI assigned
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- No
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 | MN | Primary |
Addresses
Primary practice location
7835 3Rd St N Ste 108
Oakdale, MN 55128-5445
Mailing address
1053 Kettle Creek Rd
Eagan, MN 55123-1519
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1982305215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 KETTLE CREEK RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7835 3RD ST N STE 108",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285445",
"telephone_number": "651-666-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "SADAK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.