Active NPI
Pamela Leigh Dehkes, LICSW
- Social Worker
- St. Louis Park, MN
National Provider Identifier
1326160573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15432
- Practice address
- 715 Florida Ave S
Suite 307
St. Louis Park, MN 55426 - Phone
- (952) 544-6806
- Fax
- (952) 545-0098
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15432 | MN | Primary |
Addresses
Primary practice location
715 Florida Ave S
Suite 307
St. Louis Park, MN 55426
Mailing address
715 Florida Ave S Ste 307
St Louis Park, MN 55426-1759
Phone (952) 544-6806
Other practice location 1
1915 Lyndale Ave S
Minneapolis, MN 55403-3380
Phone (800) 336-5973 ext. 2
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@catalystmentalhealth.com | Catalyst Mental Health, GBC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15432 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Mental Health, GBC | Current | Accepting new patients | |
| Catalyst Mental Health, GBC | Current | Accepting new patients |
Locations
1915 Lyndale Ave S
Minneapolis, MN 55403
Phone (800) 336-5973
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1134490147
-
dba Catalyst Mental Health, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mount Dora, FL
- NPI 1639911167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1326160573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 FLORIDA AVE S STE 307",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261759",
"telephone_number": "952-544-6806",
"fax_number": "952-545-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 FLORIDA AVE S",
"address_2": "SUITE 307",
"city": "ST. LOUIS PARK",
"state": "MN",
"postal_code": "55426",
"telephone_number": "952-544-6806",
"fax_number": "952-545-0098"
}
],
"practiceLocations": [
{
"address_1": "1915 Lyndale Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554033380",
"country_code": "US",
"telephone_number": "800-336-5973 x2",
"fax_number": "612-234-4689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEHKES",
"first_name": "PAMELA",
"middle_name": "LEIGH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "15432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@catalystmentalhealth.com",
"affiliation": "Y",
"endpointDescription": "info@catalystmentalhealth.com",
"affiliationName": "Catalyst Mental Health, GBC",
"address_1": "1915 Lyndale Ave S",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554033380",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St. Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.