PATHWAYS AUTISM CENTER LLC (NPI# 1952945180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952945180 |
| Entity Type | Organization |
| Organization Name | PATHWAYS AUTISM CENTER LLC |
| Practice Address |
2021 E Hennepin Ave Ste 155 Minneapolis MN 55413-1772 |
| Mailing Address |
1738 Newbrighton Blvd Suite 104-223 Minneapolis MN 55413 |
| Practice Telephone | 6124810934 |
| Mailing Telephone | 6124810934 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | IBRAHIM ABUMUNYE (CEO) |
| Authorized Official Telephone | 6124810934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 01 | 05 |
| Other Name | Type Code |
|---|---|
| PATHWAYS AUTISM CENTER LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1738 Newbrighton Blvd, Suite 104-223, Minneapolis, MN 55413 | 6124810934 |
| Street Address |
2021 E HENNEPIN AVE STE 155 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441546 | Oasis Child and Family Services | Psychologist | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| 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] |
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|---|---|---|---|---|
| 1659906071 | Amoud Center Inc | Clinic/Center | 1925 Portland Ave, Minneapolis, MN 55404-2713 | 2020-03-05 |
| 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 |
| 1477962488 | Hachiya Psychological Services | Clinic/Center | 3414 W 47th St, Minneapolis, MN 55410-1721 | 2014-08-05 |
| 1043628787 | Hennepin County | Clinic/Center | 256 Upton Ave S, Minneapolis, MN 55405-1944 | 2014-07-25 |
| 1053729897 | Northpoint Health & Wellness Center | Clinic/Center | 1607 51st Ave N, Minneapolis, MN 55430-3433 | 2014-07-24 |
| 1164569679 | University of Minnesota Physicians | Clinic/Center | 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 | 2007-01-31 |
| 1225136419 | Washburn Center for Children | Clinic/Center | 1100 Glenwood Ave, Minneapolis, MN 55405 | 2006-09-20 |
| 1427039692 | Jordan Hart, Ph.d., L.p., LLC | Clinic/Center | 615 W 35th St, Minneapolis, MN 55408-4602 | 2005-11-07 |
| 1710592837 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2020-09-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
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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.