Vitality Family Mental Health, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VITALITY FAMILY MENTAL HEALTH, LLC

Practice address

4149 Lyndale Ave N
Minneapolis, MN 55412-1703

Phone

(612) 481-3262

NPI assigned

Nov 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Albert Norman Brown Jr., M.A, MFT, LADC

Title

Owner

Phone

(612) 481-3262

Specialties & licenses 1

Addresses

Tax ID family

Vitality Family Mental Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vitality Family Mental Health, LLC

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1790224939
  NPD tax ID

Locations

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

{
    "created_epoch": "1479945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479945600000",
    "number": "1104369016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072025",
            "telephone_number": "612-481-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121703",
            "telephone_number": "612-481-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY FAMILY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-24",
        "last_updated": "2016-11-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-481-3262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.A, MFT, LADC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Christine Viskocil, M.D.
• Vista Therapy Center Inc
• Avinash Viswanath, MD
• Vita Transportation LLC
• Vitalia MN
• Vitality Family Mental Health, LLC
• Vitality Mental Health Services LLC
• Samantha Vite
• Ashley Vitek, LICSW
• Jerrold L Vitek, MD

• Health Maintenance Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; 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.