Active NPI
David Jeffrey Mair, MD
- Psychiatry Physician
- Minneapolis, MN
National Provider Identifier
1083655898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 50908
- Practice address
- 2021 E Hennepin Ave
Ste 330
Minneapolis, MN 55413-2700 - Phone
- (612) 435-7200
- Fax
- (612) 435-7201
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36629 | IA | |
| Psychiatry Physician | 2084P0800X | 50908 | MN | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave
Ste 330
Minneapolis, MN 55413-2700
Mailing address
2515 Wabash Ave Ste 200
Saint Paul, MN 55114-1058
Phone (612) 435-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36629 | IA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Psychological Consultants, LLC | Current | Accepting new patients | |
| South Metro Human Services Dba Radias Health | Past | Accepting new patients | |
| South Metro Human Services Dba Radias Health | Past | Accepting new patients |
Locations
7236 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 416-4167
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Psychologist
- Maple Grove, MN
- NPI 1942221080
-
- Case Management Agency
- Minneapolis, MN
- NPI 1710615745
-
- Case Management Agency
- Minneapolis, MN
- NPI 1871664722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771632000000",
"number": "1083655898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 WABASH AVE STE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141058",
"telephone_number": "612-435-7207",
"fax_number": "612-435-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE",
"address_2": "STE 330",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132700",
"telephone_number": "612-435-7200",
"fax_number": "612-435-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIR",
"first_name": "DAVID",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "36629",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "50908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.