OrganizationActive
Mindbridge Autism LLC
NPI 1992514723 · Clinic/Center · Lakeville, MN
Mindbridge Autism LLC is a Clinic/Center organization in Lakeville, MN (NPI 1992514723).
Provider details
- NPI number
- 1992514723
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mohamud Boru, Executive Director(763) 528-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
20731 Holyoke Ave # 909
Lakeville, MN 55044-9825
Phone: (763) 528-0300
Street-level locationGet directions
Mailing address
20731 Holyoke Ave # 909
Lakeville, MN 55044-9825
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Frequently asked questions
- What is Mindbridge Autism LLC's NPI number?
- Mindbridge Autism LLC's National Provider Identifier (NPI) is 1992514723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindbridge Autism LLC?
- Mindbridge Autism LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mindbridge Autism LLC located?
- Mindbridge Autism LLC's practice location on file with NPPES is 20731 Holyoke Ave # 909, Lakeville, MN 55044-9825.
- What is Mindbridge Autism LLC's phone number?
- The practice phone number listed in the NPPES registry for Mindbridge Autism LLC is (763) 528-0300.
- Who is the authorized official for Mindbridge Autism LLC?
- The authorized official listed on Mindbridge Autism LLC's NPPES record is Mohamud Boru, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindbridge Autism LLC's NPI active?
- Yes — Mindbridge Autism LLC's NPI (1992514723) is active in the NPPES registry as of the last update on 2025-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.