Organization Active NPI

Mental Health Ninjas

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1124423074
Registry record updated Mar 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 20, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.