PATHWAYS AUTISM CENTER LLC


Address: 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772
Phone: 6124810934

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MN 01 05

Other Provider/Organization Names

Other Name Type Code
PATHWAYS AUTISM CENTER LLC Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1738 Newbrighton Blvd, Suite 104-223, Minneapolis, MN 55413 6124810934

Office Location

Street Address 2021 E HENNEPIN AVE STE 155
City MINNEAPOLIS
State MN
Zip Code 55413-1772

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City MINNEAPOLIS
Zip Code 55413

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Dataset Information

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.

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