Organization Active NPI

Outpatient Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn Park, MN
National Provider Identifier
1609614668
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OUTPATIENT PSYCHIATRY LLC
Practice address
7420 Unity Ave N
Brooklyn Park, MN 55443-3143
Phone
(651) 307-4396
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Shuri Loveline Nwunasi, NPNPI 1841924719
Title
Owner
Phone
(651) 300-5212

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7420 Unity Ave N
Brooklyn Park, MN 55443-3143

Mailing address

7420 Unity Ave N Ste 205D
Brooklyn Park, MN 55443-3166
Phone (651) 307-4396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113002533 MN Part B Supplier - Clinic/Group Practice 9537645163 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn Park, MN

National Provider Directory

National Provider Directory

Locations

7420 Unity Ave N
Ste 205D
Brooklyn Park, MN 55443
Phone (651) 300-5212

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": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1609614668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N STE 205D",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433166",
            "telephone_number": "651-307-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433143",
            "telephone_number": "651-307-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "NWUNASI",
        "authorized_official_first_name": "SHURI",
        "authorized_official_middle_name": "LOVELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-300-5212",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.