Praestan Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PRAESTAN HEALTH, LLC

Practice address

3415 Saint Paul Ave
Minneapolis, MN 55416-4342

Phone

(612) 284-3220

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Leonard Read Sulik, MD

Title

Ceo

Phone

(612) 284-3220

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Elena Geiger-Simpson, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1891210191
  NPD (past)
• Ariana Meriel Hart, MSW

  • Social Worker
  • Minneapolis, MN
  • NPI 1952420648
  NPD (past)
• Jessica Jane McLawhorn

  • Professional Counselor
  • Bloomington, MN
  • NPI 1689386021
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1033633953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SAINT PAUL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164342",
            "telephone_number": "612-284-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SAINT PAUL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164342",
            "telephone_number": "612-284-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAESTAN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "READ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-284-3220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadley J Powless, PA
• Marcia Karen Powless, BSN RN PHN
• Krishna Madhav Prabhu, MD
• Swetha Pradeep, PHARMD
• Jalashree Pradhan, L.AC
• Alexa Anne Pragman, M.D.
• Brianna Prahl, BD(DONA)
• Miranda Prahl, LICSW
• Sherri Prahl
• Micah Prairie Chicken, PHD, LP

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.