Organization Active NPI

Pinnacle Behavioral Healthcare, LLC

  • Adult Mental Health Clinic/Center
  • Edina, MN
National Provider Identifier
1356629232
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
2152558 Issued in MN
Legal business name
PINNACLE BEHAVIORAL HEALTHCARE, LLC
Practice address
6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone
(952) 303-6832
Fax
(952) 303-3434
NPI assigned
Jul 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. Olukayode O Awosika, MDNPI 1073539953
Title
Medical Director/Adult Psychiatrist
Phone
(952) 303-6832

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Adult Mental Health Clinic/Center 261QM0850X 2152558 MN Primary

Addresses

Primary practice location

6600 France Ave S Ste 415
Edina, MN 55435-1804

Mailing address

6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone (952) 303-6832

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inbox@pinnaclebhc.direct.wrshealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000021 MN Part B Supplier - Clinic/Group Practice 3274793807 Receives reassigned benefits from 4 practitioners
Practice locations: Burnsville, MN; Edina, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2208517Pinnacle Behavioral Healthcare6600 France Avenue S, Ste 415, Edina, MN 55435Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

2105 W 143rd St
#B
Burnsville, MN 55306
Phone (952) 303-6832

24 2nd St S
Long Prairie, MN 56347

7250 France Ave S
Ste 302
Minneapolis, MN 55435
Phone (952) 303-6832

Interoperability endpoints

  • Direct secure messaging: inbox@pinnaclebhc.direct.wrshealth.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1356629232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832",
            "fax_number": "952-303-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832",
            "fax_number": "952-303-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ADULT PSYCHIATRIST",
        "authorized_official_telephone_number": "952-303-6832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "2152558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@pinnaclebhc.direct.wrshealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6600 France Ave S Ste 415",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554351804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.