Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. MOHAMED ISSE OMAR
NPI 1255249678
Psychologist - Intellectual and Developmental Disabilities in Middleton, WI

Q: What is Mohamed Omar's NPI number?

The NPI number for Mohamed Omar is 1255249678. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Q: What is Mohamed Omar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Mohamed Omar was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2026

5122 CHURCHILL LN # 18, MIDDLETON, WI 53562(612) 258-5793 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Mohamed Isse Omar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MOHAMED ISSE OMAR (NPI 1255249678) is an individual intellectual and developmental disabilities provider in Middleton, Wisconsin, licensed in Minnesota (W000-137481400) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1255249678

Entity TypeIndividualMale

Primary Taxonomy103TM1800X

Provider Legal NameMR. MOHAMED ISSE OMAR

Location Address5122 CHURCHILL LN # 18Middleton, WI 53562-2124

Mailing Address5122 Churchill Ln # 18Middleton, WI 53562-2124 · (612) 258-5793

Phone(612) 258-5793

Sole ProprietorYes

Enumeration DateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1255249678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

License✔ Licensed in MN · W000-137481400

5122 CHURCHILL LN # 18, Middleton, WI 53562

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohamed Omar's NPI number?

The NPI number for Mohamed Omar is 1255249678. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Where is Mohamed Omar located?

Mohamed Omar practices at 5122 Churchill Ln # 18, Middleton, WI 53562. The listed phone number is (612) 258-5793.

What is Mohamed Omar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Mohamed Omar was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.