Mission Wellness MN PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MISSION WELLNESS MN PLLC

Practice address

6636 Cedar Ave S Ste 380
Richfield, MN 55423-2712

Phone

(612) 271-6807

Fax

(844) 703-6539

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Murphy, CNPNPI 1972580058

Title

Owner/Ceo

Phone

(612) 271-6807

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle M Murphy, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, MN
  • NPI 1972580058
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1417528043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 MONDAMIN ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172056",
            "telephone_number": "612-703-6539",
            "fax_number": "844-703-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 CEDAR AVE S STE 380",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232712",
            "telephone_number": "612-271-6807",
            "fax_number": "844-703-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION WELLNESS MN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "612-271-6807",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972580058",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Richfield, MN
• Providers in Richfield, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.