Northwestern Mental Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19341 Issued in MN

Legal business name

NORTHWESTERN MENTAL HEALTH CENTER

Practice address

603 Bruce St
Crookston, MN 56716-2914

Phone

(218) 281-3940

NPI assigned

Mar 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel G Wilson, LICSW

Title

Executive Director

Phone

(218) 281-3940

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1225337355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BRUCE ST",
            "address_2": "PO BOX 603",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567162914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BRUCE ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567162914",
            "telephone_number": "218-281-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-281-3940",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "19341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Murphy, LICSW
• Deborah L Myrfield, PA
• Huy Nguyen, M.D
• Lucelle Margaret Noll
• Lance Michael Norman, MOT, OTR/L, CHT
• Brittany K Novak, PHARMD
• Comfort Oluwashola Olayioye, MD
• Annie Olson
• Betty Jean Olson
• Heather Leola Olson

• All providers in Crookston, MN
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.