Active NPI
Relaunch Psychiatry Services
- Nurse Practitioner
- Northfield, MN
National Provider Identifier
1578307708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- RELAUNCH PSYCHIATRY SERVICES
- Practice address
- 1300 Bollenbacher Dr Ste B
Northfield, MN 55057-3609 - Phone
- (507) 237-6468
- NPI assigned
- Jun 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ablavi Sylvia Saboutey, NP
- Title
- Pmhnp
- Phone
- (612) 616-6227
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1300 Bollenbacher Dr Ste B
Northfield, MN 55057-3609
Mailing address
7635 148TH St W # 240
Apple Valley, MN 55124-7800
Phone (507) 237-6468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marshall, MN
- NPI 1023737806
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Kasson, MN
- NPI 1427828904
-
- Chiropractor
- Watkinsville, GA
- NPI 1497820104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1578307708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7635 148TH ST W # 240",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247800",
"telephone_number": "507-237-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BOLLENBACHER DR STE B",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550573609",
"telephone_number": "507-237-6468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELAUNCH PSYCHIATRY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "SABOUTEY",
"authorized_official_first_name": "ABLAVI",
"authorized_official_middle_name": "SYLVIA",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "612-616-6227",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.