Individual provider Active NPI

David Jeffrey Mair, MD

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1083655898
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50908 Issued in MN
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

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000543 MN Practitioner - Psychiatry 7517130057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36629IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Psychological Consultants, LLC CurrentSince Oct 1, 2011 Accepting new patients
South Metro Human Services Dba Radias Health Past Accepting new patients
South Metro Human Services Dba Radias Health PastSince Aug 14, 2022 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.

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

Verify at the official NPI Registry.