1. Home
  2. Directory
  3. Minnesota
  4. St Anthony
  5. Psychologist
  6. NPI Profile

SHINING LIGHT SKILL BUILDING LLC
NPI 1295347854
Psychologist - Cognitive & Behavioral in St. Anthony, MN

Active since August 17, 2020
3055 OLD HIGHWAY 8 STE 106B, ST. ANTHONY, MN 55418(612) 978-0760 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2020, Aug 17, 2020 (2 updates tracked since 2020).

About Shining Light Skill Building Llc NPPES

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

SHINING LIGHT SKILL BUILDING LLC (NPI 1295347854) is a healthcare organization registered as a cognitive & behavioral in St. Anthony, Minnesota and active in the NPI registry since August 2020. The organization lists Ahmed Cali Adam, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1295347854
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameSHINING LIGHT SKILL BUILDING LLC
Location Address3055 OLD HIGHWAY 8 STE 106BSt. Anthony, MN 55418
Mailing Address3055 Old Highway 8 Ste 106bSt. Anthony, MN 55418 · (612) 978-0760
Phone(612) 978-0760
Organization SubpartNo
Authorized OfficialAhmed Cali AdamAccount Manager · (612) 978-0760
Enumeration DateAugust 17, 2020
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1295347854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
3055 OLD HIGHWAY 8 STE 106B, St. Anthony, MN 55418
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Shining Light Skill Building LLC's NPI number?

The NPI number for Shining Light Skill Building LLC is 1295347854. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Shining Light Skill Building LLC located?

Shining Light Skill Building LLC is located at 3055 Old Highway 8 Ste 106B, St. Anthony, MN 55418. The listed phone number is (612) 978-0760.

What is Shining Light Skill Building LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Shining Light Skill Building LLC was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.