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MINDBRIDGE AUTISM LLC
NPI 1992514723
Clinic/Center in Lakeville, MN

Active since January 06, 2025
20731 HOLYOKE AVE # 909, LAKEVILLE, MN 55044(763) 528-0300 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindbridge Autism Llc NPPES

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

MINDBRIDGE AUTISM LLC (NPI 1992514723) is a healthcare organization registered as a clinic/center in Lakeville, Minnesota and active in the NPI registry since January 2025. The organization lists Mohamud Boru, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992514723
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINDBRIDGE AUTISM LLC
Location Address20731 HOLYOKE AVE # 909Lakeville, MN 55044-9825
Mailing Address20731 Holyoke Ave # 909Lakeville, MN 55044-9825 · (763) 528-0300
Phone(763) 528-0300
Organization SubpartNo
Authorized OfficialMohamud BoruExecutive Director · (763) 528-0300
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1992514723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
20731 HOLYOKE AVE # 909, Lakeville, MN 55044
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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 Mindbridge Autism LLC's NPI number?

The NPI number for Mindbridge Autism LLC is 1992514723. It was assigned to this organization in the NPPES registry on January 6, 2025.

Where is Mindbridge Autism LLC located?

Mindbridge Autism LLC is located at 20731 Holyoke Ave # 909, Lakeville, MN 55044. The listed phone number is (763) 528-0300.

What is Mindbridge Autism LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mindbridge Autism LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.