Organization Active NPI

Elizjoseph Behavioral Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn Center, MN
National Provider Identifier
1023943503
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELIZJOSEPH BEHAVIORAL HEALTH, PLLC
Practice address
2800 Freeway Blvd Ste 1a
Brooklyn Center, MN 55430-1751
Phone
(612) 501-4029
Fax
(612) 246-3198
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Sesan L Ogunniran, PMHNPNPI 1205635141
Title
Owner
Phone
(612) 501-4029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2800 Freeway Blvd Ste 1a
Brooklyn Center, MN 55430-1751

Mailing address

2800 Freeway Blvd Ste 1a
Brooklyn Center, MN 55430-1751
Phone (612) 501-4029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1023943503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 1A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-501-4029",
            "fax_number": "612-246-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FREEWAY BLVD STE 1A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301751",
            "telephone_number": "612-501-4029",
            "fax_number": "612-246-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZJOSEPH BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "OGUNNIRAN",
        "authorized_official_first_name": "SESAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-501-4029",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.