Mind Revitalized Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND REVITALIZED PSYCHIATRY PLLC

Practice address

7420 Unity Ave N Ste 307B
Brooklyn Park, MN 55443-3136

Phone

(609) 338-4325

NPI assigned

Sep 10, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abena V Prempeh, DNP, PMHNP-BC

Title

Member-Manager

Phone

(609) 338-4325

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1013827245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N STE 307B",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433136",
            "telephone_number": "609-338-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N STE 307B",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433136",
            "telephone_number": "609-338-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND REVITALIZED PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "PREMPEH",
        "authorized_official_first_name": "ABENA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "609-338-4325",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.