AUTISM SIBS UNIVERSE – NPI #1396319554
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Health Care Provider Taxonomy Code for Clinic/Center

AUTISM SIBS UNIVERSE is an AHC clinic located in PLYMOUTH, MN. NPPES has assigned the NPI number 1396319554 to AUTISM SIBS UNIVERSE on May 13, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTISM SIBS UNIVERSE below.

NPI Profile for
AUTISM SIBS UNIVERSE

NPI Number
1396319554
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUTISM SIBS UNIVERSE
Primary location
14107 54TH AVE N
PLYMOUTH, MN 55446-1959
Phone: (612) 396-7422 Fax:
Mailing address
19020 44TH AVE N
PLYMOUTH, MN 55446-2503
Phone: (612) 396-7422 Fax:
Organization Subpart
No
Authorized Official
INDU EATI
CEO
Phone: (612) 396-7422
Updated
Certification Date
May 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
261QA3000X
- Clinic/Center / Augmentative Communication
253Z00000X
- In Home Supportive Care
251V00000X
- Voluntary or Charitable
251S00000X
- Community/Behavioral Health
251K00000X
- Public Health or Welfare
251E00000X
- Home Health
251C00000X
- Day Training, Developmentally Disabled Services
2255A2300X
- Specialist/Technologist / Athletic Trainer
221700000X
- Art Therapist
208D00000X
- General Practice
171400000X
- Health & Wellness Coach

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.