Audace Psychiatry and Mental Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AUDACE PSYCHIATRY AND MENTAL HEALTH

Practice address

2042 Wooddale Dr Ste 250-5038
Woodbury, MN 55125-2981

Phone

(612) 432-4507

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Muholeza Cesar Ligogo, DNP APRN CNP PMHNPBC

Title

Owner

Phone

(612) 432-4507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ligogo Cesar Muholeza, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1033848817
  Medicare reassignment NPD

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1235945585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250-5038",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250-5038",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252981",
            "telephone_number": "612-432-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDACE PSYCHIATRY AND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "LIGOGO",
        "authorized_official_first_name": "MUHOLEZA",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-432-4507",
        "authorized_official_credential": "DNP APRN CNP PMHNPBC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Eye Care Optical LLC
• Christine Marie Athmann, MD
• Christina Atkinson, PT, DPT
• Attentive Home Care LLC
• Nicole Kristen Auble, OD
• David Augustson, DDS
• Neli Augustson
• Sierra Ault, LPCC
• Aurora Dentistry
• Autism and Behavioral Intervention, LLC

• Clinic/Center in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.