Organization Active NPI

North Metro Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Brighton, MN
National Provider Identifier
1043398316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2207891 Issued in MN
Legal business name
NORTH METRO PSYCHIATRY
Practice address
2475 15TH St NW
Suite D
New Brighton, MN 55112-5605
Phone
(651) 636-0941
Fax
(651) 697-1209
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynette Gould
Title
Office Manager
Phone
(651) 636-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2207891 MN Primary

Addresses

Primary practice location

2475 15TH St NW
Suite D
New Brighton, MN 55112-5605

Mailing address

2475 15TH St NW
Suite D
New Brighton, MN 55112-5605
Phone (651) 636-0941

National Provider Directory

National Provider Directory

Locations

2475 15th St NW
Ste D
Saint Paul, MN 55112
Phone (612) 406-4083

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043398316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 15TH ST NW",
            "address_2": "SUITE D",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125605",
            "telephone_number": "651-636-0941",
            "fax_number": "651-697-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 15TH ST NW",
            "address_2": "SUITE D",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551125605",
            "telephone_number": "651-636-0941",
            "fax_number": "651-697-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-636-0308"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "2207891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.