STAR AUTISM CENTER (NPI# 1801409099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801409099 |
| Entity Type | Organization |
| Organization Name | STAR AUTISM CENTER |
| Practice Address |
3333 W Division St Ste 116 Saint Cloud MN 56301-4548 |
| Practice Telephone | 6128069954 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | ABDINAJIB YUSSUF (MANAGER) |
| Authorized Official Telephone | 6128069954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3333 W DIVISION ST STE 116 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079374 | Midway Counseling Services LLC | Clinic/Center | 1410 9th Ave S Apt 306, Saint Cloud, MN 56301-5787 | 2020-09-25 |
| 1124156609 | Catholic Charities of The Diocese of St. Cloud | Clinic/Center | 1712 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-02-28 |
| 1619059755 | Psychotherapeutic Resources Ptrs | Clinic/Center | 325 33rd Ave N, 103, Saint Cloud, MN 56303-1929 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697202 | Kids Zone Autism Center Inc | Clinic/Center | 670 Marigold Ter Ne, Fridley, MN 55432-5641 | 2020-10-18 |
| 1851900484 | Iron Range Behavioral Services LLC | Clinic/Center | 817 S 5th Ave, Virginia, MN 55792-2804 | 2020-07-29 |
| 1184240103 | Adhd&u | Clinic/Center | 2196 Carter Ave, Saint Paul, MN 55108-1709 | 2020-06-25 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1659906071 | Amoud Center Inc | Clinic/Center | 1925 Portland Ave, Minneapolis, MN 55404-2713 | 2020-03-05 |
| 1164055026 | Moonlight Support Services LLC | Clinic/Center | 3110 Old Hwy 8, 206, Roseville, MN 55113-5511 | 2020-02-19 |
| 1285279554 | Metro Therapy Center Inc | Clinic/Center | 2520 Pillsbury Ave S Apt 306, Minneapolis, MN 55404-4208 | 2019-11-11 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
| 1508411869 | Positive Changes Counseling Services LLC | Clinic/Center | 124 Rum River Dr N, Princeton, MN 55371-1617 | 2019-08-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.