PRIME AUTISM CENTER INC
NPI 1396311577
Psychologist - Cognitive & Behavioral in Minneapolis, MN

Active since May 28, 2021
322 W LAKE ST STE 207, MINNEAPOLIS, MN 55408(612) 900-2854 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychologist
  • Cognitive & Behavioral

About PRIME AUTISM CENTER INC

This page provides the complete NPI Profile along with additional information for Prime Autism Center Inc, a provider established in Minneapolis, Minnesota operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1396311577 assigned on May 2021. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shafici D Ali (President)

NPI
1396311577 Verify this NPI
Provider Name
PRIME AUTISM CENTER INC
Entity Type
Organization
Location Address
322 W LAKE ST STE 207 MINNEAPOLIS, MN 55408
Location Phone
(612) 900-2854
Mailing Address
322 W LAKE ST STE 207 MINNEAPOLIS, MN 55408
Mailing Phone
(612) 900-2854
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2021
Last Update Date
05-28-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAFICI D ALI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(612) 900-2854

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396311577, enumerated as an "organization" on May 28, 2021.

The provider is located at 322 W LAKE ST STE 207 MINNEAPOLIS, MN 55408 and the phone number is (612) 900-2854.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.