NPIMap

Organization Active NPI

Skyline Behavioral Health LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1316839129
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SKYLINE BEHAVIORAL HEALTH LLC
Practice address
1090 Thomas Ave Apt 5
Saint Paul, MN 55104-2641
Phone
(651) 440-2657
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Malack NyokwoyoNPI 1356946636
Title
Owner
Phone
(651) 440-2657

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1090 Thomas Ave Apt 5
Saint Paul, MN 55104-2641

Mailing address

1090 Thomas Ave Apt 5
Saint Paul, MN 55104-2641

National Provider Directory

National Provider Directory

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": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1316839129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 THOMAS AVE APT 5",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 THOMAS AVE APT 5",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042641",
            "telephone_number": "651-440-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "NYOKWOYO",
        "authorized_official_first_name": "MALACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-440-2657"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 16, 2025; 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.