Individual provider Active NPI

Hodman Jama Yussuf

  • Behavior Technician
  • Burnsville, MN
National Provider Identifier
1992590558
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1500 McAndrews Rd W Ste 231
Burnsville, MN 55337-4447
Phone
(612) 237-1111
Fax
(763) 260-9900
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1500 McAndrews Rd W Ste 231
Burnsville, MN 55337-4447

Mailing address

1500 McAndrews Rd W Ste 231
Burnsville, MN 55337-4447
Phone (612) 237-1111

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iq Cares Inc CurrentSince Apr 20, 2025 Accepting new patients

Locations

1500 McAndrews Rd W
Ste 231
Burnsville, MN 55337
Phone (612) 237-1111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1992590558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 231",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374447",
            "telephone_number": "612-237-1111",
            "fax_number": "763-260-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 231",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374447",
            "telephone_number": "612-237-1111",
            "fax_number": "763-260-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSSUF",
        "first_name": "HODMAN",
        "middle_name": "JAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.