Vital Mental Health Specialists LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VITAL MENTAL HEALTH SPECIALISTS LLC

Doing business as

VITAL MENTAL HEALTH SPECIALISTS
Vital Healthcare Specialists

Practice address

1821 University Ave W Ste 298
Saint Paul, MN 55104-2875

Phone

(651) 756-8183

Fax

(651) 756-8336

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Theophilus Mbi Akoh, NP

Title

Member

Phone

(775) 335-7450

Specialties & licenses 1

Addresses

Other names 2

• VITAL MENTAL HEALTH SPECIALISTS Doing business as
• Vital Healthcare Specialists Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1073121935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 298",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042875",
            "telephone_number": "651-756-8183",
            "fax_number": "651-756-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 298",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042875",
            "telephone_number": "651-756-8183",
            "fax_number": "651-756-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MENTAL HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "AKOH",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_middle_name": "MBI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "775-335-7450",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minnesota",
            "affiliation": "N",
            "address_1": "1821 University Ave W Ste 298",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551042875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VITAL MENTAL HEALTH SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Healthcare Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Codruta Vizoli-Hoover, APRN, CNM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.