NPIMap

Organization Active NPI

Horizon Psychiatry, LLC

  • Adult Mental Health Clinic/Center
  • Rogers, MN
National Provider Identifier
1417495003
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HORIZON PSYCHIATRY, LLC
Practice address
21370 John Milless Dr
Suite 210
Rogers, MN 55374-9449
Phone
(763) 428-2288
Fax
(763) 428-2132
NPI assigned
Feb 3, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mr. Thomas Zinken
Title
President
Phone
(763) 428-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

21370 John Milless Dr
Suite 210
Rogers, MN 55374-9449

Mailing address

21370 John Milless Dr
Suite 210
Rogers, MN 55374-9449
Phone (763) 428-2288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170516000511 MN Part B Supplier - Clinic/Group Practice 7214214584 Receives reassigned benefits from 8 practitioners
Practice locations: Golden Valley, MN; Isanti, MN; Rogers, MN; Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

4800 Olson Memorial Hwy
Ste 200
Golden Valley, MN 55422
Phone (612) 810-6328

303 Credit Union Dr
Ste 12B
Isanti, MN 55040
Phone (763) 428-2288

21370 John Milless Dr
Ste 210
Rogers, MN 55374
Phone (763) 428-2288

2848 2nd St S
Ste 135
Saint Cloud, MN 56301
Phone (763) 428-2288

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1417495003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR",
            "address_2": "SUITE 210",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749449",
            "telephone_number": "763-428-2288",
            "fax_number": "763-428-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR",
            "address_2": "SUITE 210",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749449",
            "telephone_number": "763-428-2288",
            "fax_number": "763-428-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "ZINKEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-428-2288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.