Upside Psychiatric

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

R127204-4 Issued in MN

Legal business name

UPSIDE PSYCHIATRIC

Practice address

1526 30TH St NW
Bemidji, MN 56601-4140

Phone

(218) 751-0887

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Miriam Elaine Tell, NP

Title

Pmhnp

Phone

(218) 766-5344

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1336443225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1795",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191795",
            "telephone_number": "218-766-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014140",
            "telephone_number": "218-751-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE PSYCHIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "TELL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "218-766-5344",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "R127204-4",
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MN",
            "license": "R1272044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upper Cervical Chiropractic Bemidji
• Upper Mississippi
• Upper Mississippi Mental Health Center, Inc
• Upper Mississippi Mental Health Center, Inc
• Upper Mississippi Mental Health Centere
• Alfredo Fernando Valdez Valencia, MD
• Alicia L Van Den Heuvel, LRD
• Rachel Vander Hoeven
• Stephen J Vandyke, OD
• David A Vanengelenhoven, M.D.

• Adult Mental Health Clinic/Center in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.