NPIMap

Organization Active NPI

Parker Collins Family Mental Health, PLLC

  • Community/Behavioral Health Agency
  • Vadnais Heights, MN
National Provider Identifier
1487927067
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP5464 Issued in MN
Legal business name
PARKER COLLINS FAMILY MENTAL HEALTH, PLLC
Practice address
1056 Centerville Cir
Vadnais Heights, MN 55127-6344
Phone
(651) 604-7771
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Dr. Jeffrey Hill, PSYD, LP
Title
Owner
Phone
(651) 604-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LP5464 MN Primary

Addresses

Primary practice location

1056 Centerville Cir
Vadnais Heights, MN 55127-6344

Mailing address

1056 Centerville Cir
Vadnais Heights, MN 55127-6360
Phone (651) 604-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609000216 MN Part B Supplier - Clinic/Group Practice 8325338031 Receives reassigned benefits from 10 practitioners
Practice locations: Minneapolis, MN; Vadnais Heights, MN; Maple Grove, MN

National Provider Directory

National Provider Directory

Locations

11316 86th Ave N
Maple Grove, MN 55369
Phone (651) 300-0060

1056 Centerville Cir
Vadnais Heights, MN 55127
Phone (651) 493-2216

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1487927067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276360",
            "telephone_number": "651-604-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 CENTERVILLE CIR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276344",
            "telephone_number": "651-604-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER COLLINS FAMILY MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-604-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.