Organization Active NPI

Mercy Health Services, Inc

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1134913015
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Apr 7, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.