SKILL SPARK THERAPY CENTER PC NPI 1477185940

NPI Information

NPI: 1477185940
Provider Name: SKILL SPARK THERAPY CENTER, PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
582 HAYWARD AVE N
OAKDALE, MN
ZIP 55128
Phone: (715) 531-5546
Get Directions

SKILL SPARK THERAPY CENTER, PC is an adult mental health clinic center in Oakdale, 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. SKILL SPARK THERAPY CENTER, PC NPI is 1477185940. The provider is registered as an organization entity type.

The provider's business location address is:

582 HAYWARD AVE N
OAKDALE, MN
ZIP 55128-378
Phone: (715) 531-5546

The provider's authorized official is Amber Priestley .
The authorized official title is Owner and has the following contact phone number (715) 531-5546.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 2/12/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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	1700269925	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: 5/5/2024

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 »