Hybrid Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HYBRID BEHAVIORAL HEALTH

Practice address

618 Adams St NE # 1
Minneapolis, MN 55413-2144

Phone

(847) 721-5639

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Evan LiebermanNPI 1245781608

Title

Program Director

Phone

(847) 721-5639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Evan Fredrick Lieberman, LADC, LGSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1245781608
  Medicare reassignment NPD Authorized official
• Nataliya Ishkova-Volovets, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn Center, MN
  • NPI 1780999177
  Medicare reassignment NPD
• Kristina Jacobsen, CNP, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1194559773
  Medicare reassignment NPD

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1477934438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ADAMS ST NE # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132144",
            "telephone_number": "847-721-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 ADAMS ST NE # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132144",
            "telephone_number": "847-721-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "847-721-5639"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance McLeod Hvass, PH.D.
• Byungkwan Hwang, M.D.
• Amy Heller Hwong, SLP
• Octavia Hyacinth, FNP-C
• Sheryl Ann Hybert, LPCC, LADC
• Erin Hyde, DO
• Christopher Joel Hydukovich, OR
• Hyjek Chiropractic
• Tamara Susan Hyland, RN
• Tina Laureen Hyland

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.