Active NPI
Mental Health Ninjas
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1124423074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MENTAL HEALTH NINJAS
- Practice address
- 1550 E 78TH St
Minneapolis, MN 55423-4638 - Phone
- (651) 321-8487
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacques Robert Champine
- Title
- Ceo & Partner
- Phone
- (507) 230-3300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1550 E 78TH St
Minneapolis, MN 55423-4638
Mailing address
1550 E 78TH St
Minneapolis, MN 55423-4638
Phone (651) 321-8487
National Provider Directory
National Provider DirectoryLocations
1550 E 78th St
Richfield, MN 55423
Phone (612) 676-1604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458432000000",
"number": "1124423074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 E 78TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554234638",
"telephone_number": "651-321-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E 78TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554234638",
"telephone_number": "651-321-8487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH NINJAS",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2016-03-20",
"status": "A",
"authorized_official_last_name": "CHAMPINE",
"authorized_official_first_name": "JACQUES",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CEO & PARTNER",
"authorized_official_telephone_number": "507-230-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Mar 20, 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.