Active NPI
Mercy Health Services, Inc
- Adult Mental Health Clinic/Center
- Minneapolis, MN
National Provider Identifier
1134913015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MERCY HEALTH SERVICES, INC
- Doing business as
- Mercy Health Services, INC
- Practice address
- 333 Washington Ave N Ste 310
Minneapolis, MN 55401-1363 - Phone
- (612) 886-5704
- NPI assigned
- Apr 7, 2025
- 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
- Muqtar Ibrahim
- Title
- Executive Director
- Phone
- (612) 886-5704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
333 Washington Ave N Ste 310
Minneapolis, MN 55401-1363
Mailing address
333 Washington Ave N Ste 310
Minneapolis, MN 55401-1363
Phone (612) 886-5704
Other names 1
- Mercy Health Services, INC
National Provider Directory
National Provider DirectoryLocations
333 Washington Ave N
Ste 310
Minneapolis, MN 55401
Phone (612) 886-5704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1134913015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N STE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011363",
"telephone_number": "612-886-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WASHINGTON AVE N STE 310",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011363",
"telephone_number": "612-886-5704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "MUQTAR",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-886-5704"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Health Services, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.