Organization Active NPI

DMS Psych PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1568284164
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DMS PSYCH PLLC
Doing business as
Dina Stewart PMHNP
Practice address
2155 Woodlane Dr Ste 201
Woodbury, MN 55125-3054
Phone
(651) 318-9648
Fax
(866) 534-4414
NPI assigned
Oct 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Authorized official

Name
Dr. Dina Marie Wren Stewart, DNP, APRN-CNP, PMHNPNPI 1699290155
Title
Nurse Practitioner
Phone
(651) 318-9648

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2155 Woodlane Dr Ste 201
Woodbury, MN 55125-3054

Mailing address

2155 Woodlane Dr Ste 201
Woodbury, MN 55125-3054
Phone (651) 318-9648

Other names 1

  • Dina Stewart PMHNP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205001519 MN Part B Supplier - Clinic/Group Practice 7113453879 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

2155 Woodlane Dr
Ste 201
Woodbury, MN 55125
Phone (651) 318-9648

Practitioners & affiliated clinicians

Practitioners 1

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": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1568284164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WOODLANE DR STE 201",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253054",
            "telephone_number": "651-318-9648",
            "fax_number": "866-534-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 WOODLANE DR STE 201",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253054",
            "telephone_number": "651-318-9648",
            "fax_number": "866-534-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMS PSYCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "MARIE WREN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "651-318-9648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-CNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dina Stewart PMHNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

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