Organization Active NPI

Sagent Behavioral Health

  • Student in an Organized Health Care Education/Training Program
  • Mendota Heights, MN
National Provider Identifier
1326958299
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
SAGENT BEHAVIORAL HEALTH
Practice address
1155 Centre Pointe Dr
Mendota Heights, MN 55120-1276
Phone
(651) 461-8033
Fax
(651) 461-8034
NPI assigned
Sep 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Taylor Dawn Bohannon, OTS
Title
Occupational Therapy Student
Phone
(309) 236-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

1155 Centre Pointe Dr
Mendota Heights, MN 55120-1276

Mailing address

1155 Centre Pointe Dr
Mendota Heights, MN 55120-1276
Phone (651) 461-8033

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1326958299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CENTRE POINTE DR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201276",
            "telephone_number": "651-461-8033",
            "fax_number": "651-461-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CENTRE POINTE DR",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201276",
            "telephone_number": "651-461-8033",
            "fax_number": "651-461-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGENT BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY STUDENT",
        "authorized_official_telephone_number": "309-236-8874",
        "authorized_official_credential": "OTS"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.