Organization Active NPI

Nexus Behavioral Health LLC

  • Counseling Psychologist
  • Saint Paul, MN
National Provider Identifier
1285353003
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
NEXUS BEHAVIORAL HEALTH LLC
Doing business as
Nexus Behavioral Health
Practice address
1935 County Road B2 W Ste 45
Saint Paul, MN 55113-2780
Phone
(651) 703-1711
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Ismail Tufa
Title
Managing Partner
Phone
(651) 703-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

1935 County Road B2 W Ste 45
Saint Paul, MN 55113-2780

Mailing address

1935 County Road B2 W Ste 45
Saint Paul, MN 55113-2780

Other names 1

  • Nexus Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

1935 County Road B2 W
Ste 45
Saint Paul, MN 55113
Phone (651) 703-1711

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1285353003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 45",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 45",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132780",
            "telephone_number": "651-703-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TUFA",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "651-703-1711"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus Behavioral Health",
            "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 Aug 24, 2022; 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.