Organization Active NPI

Take Heart Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Falls, MN
National Provider Identifier
1285482273
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TAKE HEART PSYCHIATRY LLC
Practice address
114 Kidder St SE
Little Falls, MN 56345-3029
Phone
(320) 291-5358
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Nicolette Gindele, APRNNPI 1205499464
Title
Pmhnp
Phone
(320) 291-5358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

114 Kidder St SE
Little Falls, MN 56345-3029

Mailing address

14598 Ryan St
Little Falls, MN 56345-6446
Phone (320) 291-5358

National Provider Directory

National Provider Directory

Locations

114 Kidder St SE
Little Falls, MN 56345
Phone (320) 291-5358

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1285482273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14598 RYAN ST",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563456446",
            "telephone_number": "320-291-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KIDDER ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453029",
            "telephone_number": "320-291-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE HEART PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GINDELE",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "320-291-5358",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.