OrganizationActive
Abijah'S on the Backside
NPI 1245099837 · Community/Behavioral Health Agency · Shakopee, MN
Abijah'S on the Backside is a Community/Behavioral Health Agency organization in Shakopee, MN (NPI 1245099837).
Provider details
- NPI number
- 1245099837
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sally Mixon, Founder / Ceo(715) 379-1370
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Canterbury Rd S
Shakopee, MN 55379-1867
Phone: (715) 379-1370
Street-level locationGet directions
Mailing address
Po Box 583
Shakopee, MN 55379-0583
Registry dates
- Enumerated
- 2024-03-15
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Frequently asked questions
- What is Abijah'S on the Backside's NPI number?
- Abijah'S on the Backside's National Provider Identifier (NPI) is 1245099837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abijah'S on the Backside?
- Abijah'S on the Backside is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Abijah'S on the Backside located?
- Abijah'S on the Backside's practice location on file with NPPES is 1100 Canterbury Rd S, Shakopee, MN 55379-1867.
- What is Abijah'S on the Backside's phone number?
- The practice phone number listed in the NPPES registry for Abijah'S on the Backside is (715) 379-1370.
- Who is the authorized official for Abijah'S on the Backside?
- The authorized official listed on Abijah'S on the Backside's NPPES record is Sally Mixon, Founder / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abijah'S on the Backside's NPI active?
- Yes — Abijah'S on the Backside's NPI (1245099837) is active in the NPPES registry as of the last update on 2024-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.