UNIVERSITY OF MINNESOTA PHYSICIANS NPI 1144368531

NPI Information

NPI: 1144368531
Provider Name: UNIVERSITY OF MINNESOTA PHYSICIANS
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN
ZIP 55416
Phone: (122) 738-7106
Get Directions

UNIVERSITY OF MINNESOTA PHYSICIANS is an adult mental health clinic center in St Louis Park, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. UNIVERSITY OF MINNESOTA PHYSICIANS NPI is 1144368531. The provider is registered as an organization entity type.

The provider's business location address is:

5775 WAYZATA BLVD STE 255
ST LOUIS PARK, MN
ZIP 55416-275
Phone: (122) 738-7106
Fax: (612) 273-8727

The provider's authorized official is Mary A Johnson .
The authorized official title is Chief Operating Officer and has the following contact phone number (612) 884-0802.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 2/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	701372800	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »