Organization Active NPI

Atej Psychiatric Services, LLC

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Brooklyn Park, MN
National Provider Identifier
1295108348
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
R2179612 Issued in MN
Legal business name
ATEJ PSYCHIATRIC SERVICES, LLC
Practice address
5901 Brooklyn Blvd
Suite 202
Brooklyn Park, MN 55429-2517
Phone
(316) 281-5114
Fax
(763) 271-2707
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Onojeta Ohwevwo, PMHNP-BC
Title
Owner
Phone
(316) 281-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0807X R2179612 MN Primary

Addresses

Primary practice location

5901 Brooklyn Blvd
Suite 202
Brooklyn Park, MN 55429-2517

Mailing address

5901 Brooklyn Blvd
Suite 202
Brooklyn Park, MN 55429-2517
Phone (316) 281-5114

National Provider Directory

National Provider Directory

Locations

5701 Kentucky Ave N
Ste 200
Crystal, MN 55428
Phone (612) 978-4110

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1295108348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554292517",
            "telephone_number": "316-281-5114",
            "fax_number": "763-271-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554292517",
            "telephone_number": "316-281-5114",
            "fax_number": "763-271-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATEJ PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "OHWEVWO",
        "authorized_official_first_name": "ONOJETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-281-5114",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MN",
            "license": "R2179612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.