Active NPI
Sesan L Ogunniran, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn Center, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 14068
- Practice address
- 2800 Freeway Blvd Ste 100
Brooklyn Center, MN 55430-1751 - Phone
- (612) 886-9404
- NPI assigned
- Mar 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14068 | MN | Primary |
| Home Health Registered Nurse | 163WH0200X | 2086187 | MN |
Addresses
Primary practice location
2800 Freeway Blvd Ste 100
Brooklyn Center, MN 55430-1751
Mailing address
2800 Freeway Blvd Ste 100
Suite 1a
Brooklyn Center, MN 55430-1751
Phone (612) 501-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086187 | MN | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizjoseph Healthcare LLC | Home Health | Current | Accepting new patients |
| Elizjoseph Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
2800 Freeway Blvd
Ste 100
Brooklyn Center, MN 55430
Phone (612) 501-4029
2800 Freeway Blvd
Ste 1A
Brooklyn Center, MN 55430
Phone (763) 566-4325
6500 Brooklyn Blvd
Ste 100
Brooklyn Center, MN 55429
Phone (612) 501-4029
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn Center, MN
- NPI 1023943503
-
- Home Health Agency
- Brooklyn Center, MN
- NPI 1598132086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1205635141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 FREEWAY BLVD STE 100",
"address_2": "SUITE 1A",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554301751",
"telephone_number": "612-501-4029",
"fax_number": "612-501-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 FREEWAY BLVD STE 100",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554301751",
"telephone_number": "612-886-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNNIRAN",
"first_name": "SESAN",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-12",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "14068",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "2086187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.