Organization Active NPI

Centerpointe Behavioral Health Minneapolis LLC

  • Adult Mental Health Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1275977316
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
NOT REQUIRED Issued in MN
Legal business name
CENTERPOINTE BEHAVIORAL HEALTH MINNEAPOLIS LLC
Practice address
2550 University Ave W
Suite 314N
Saint Paul, MN 55114-1052
Phone
(888) 524-9196
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Irshad Khan
Title
Business Development
Phone
(314) 393-3954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NOT REQUIRED MN Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NOT REQUIRED MN

Addresses

Primary practice location

2550 University Ave W
Suite 314N
Saint Paul, MN 55114-1052

Mailing address

763 S New Ballas Rd
Suite 300
Saint Louis, MO 63141-8704
Phone (314) 393-3954

Other names 1

  • CenterPointe Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

2550 University Ave W
Ste 314N
Saint Paul, MN 55114

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1275977316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418704",
            "telephone_number": "314-393-3954",
            "fax_number": "636-447-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 314N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "888-524-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINTE BEHAVIORAL HEALTH MINNEAPOLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IRSHAD",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "314-393-3954"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "NOT REQUIRED",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "NOT REQUIRED",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterPointe Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.