NYSTROM & ASSOCIATES LTD. NPI 1467761742

NPI Information

  • NPI: 1467761742
  • Provider Name: NYSTROM & ASSOCIATES, LTD.
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • :
  • CLIA Number: 24D2213964
  • Address: 1900 SILVER LAKE RD NW
    SUITE 110
    NEW BRIGHTON, MN
    ZIP 55112
  • Phone: (651) 628-9566

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NPI Details

NYSTROM & ASSOCIATES, LTD. is an adult mental health clinic center in New Brighton, 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. NYSTROM & ASSOCIATES, LTD. NPI is 1467761742. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON, MN
ZIP 55112-786
Phone: (651) 628-9566

The provider's authorized official is Ann Eiden .
The authorized official title is Vp Of Corporate Services and has the following contact phone number (651) 379-1750.

The CLIA number assigned to this NPI record is 24D2213964 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2010 and was last updated on 4/7/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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