Active NPI
Centerpointe Behavioral Health Minneapolis LLC
- Adult Mental Health Clinic/Center
- Saint Paul, MN
National Provider Identifier
1275977316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- NOT REQUIRED
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.