Active NPI
Psi Pride Institute Inc
- Substance Abuse Rehabilitation Facility
- Eden Prairie, MN
National Provider Identifier
1356342604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1030116-1-CDT
- Legal business name
- PSI PRIDE INSTITUTE INC
- Practice address
- 14400 Martin Dr
Eden Prairie, MN 55344-2031 - Phone
- (952) 934-7554
- Fax
- (952) 934-8764
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Filton
- Title
- SRVP Cfo
- Phone
- (610) 382-3319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1030116-1-CDT | MN | Primary |
Addresses
Primary practice location
14400 Martin Dr
Eden Prairie, MN 55344-2031
Mailing address
14400 Martin Dr
Eden Prairie, MN 55344-2031
Phone (952) 934-7554
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101123 | Other | MN | HEALTH PARTNERS INS |
| 1043387 | Other | MN | PREFERRED ONE INS |
| 630114200 | Medicaid | MN | |
| 300658 | Other | MN | UCARE INSURANCE |
| 9L22PI | Other | MN | BCBS INSURANCE |
| 320670 | Other | MN | VALUE OPTIONS MCO |
Other names 1
- Pride Institute
National Provider Directory
National Provider DirectoryLocations
14400 Martin Dr
Eden Prairie, MN 55344
Phone (952) 444-9576
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1306059860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1356342604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 MARTIN DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442031",
"telephone_number": "952-934-7554",
"fax_number": "952-934-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14400 MARTIN DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442031",
"telephone_number": "952-934-7554",
"fax_number": "952-934-8764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSI PRIDE INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "SRVP CFO",
"authorized_official_telephone_number": "610-382-3319"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MN",
"license": "1030116-1-CDT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS INS",
"identifier": "101123",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE INS",
"identifier": "1043387",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630114200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE INSURANCE",
"identifier": "300658",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INSURANCE",
"identifier": "9L22PI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS MCO",
"identifier": "320670",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pride Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.