Active NPI
Northwind Holistic Psychiatry PLLC
- Physician Assistant
- Park Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- NORTHWIND HOLISTIC PSYCHIATRY PLLC
- Practice address
- 207 2ND St W
Park Rapids, MN 56470-1506 - Phone
- (320) 500-2040
- Fax
- (320) 244-7958
- NPI assigned
- Nov 11, 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
- Tiffany Pittman, DMSC, PA-C
- Title
- Owner
- Phone
- (320) 500-2040
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
207 2ND St W
Park Rapids, MN 56470-1506
Mailing address
1880 Office Club PT Ste 237
Colorado Springs, CO 80920-5017
Phone (320) 500-2040
Other practice location 1
1880 Office Club Pt Ste 265
Colorado Springs, CO 80920-5019
Phone (320) 500-2040
Other practice location 2
1880 Office Club Pt Ste 237
Colorado Springs, CO 80920-5017
Phone (320) 500-2040
National Provider Directory
National Provider DirectoryLocations
1880 Office Club Pt
Ste 237
Colorado Springs, CO 80920
212 Washington St
Ste F
Monument, CO 80132
Phone (719) 505-9113
1920 Turning Leaf Ln SW
Ste 6
Alexandria, MN 56308
Phone (320) 500-2024
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Park Rapids, MN
- NPI 1336641315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782518400000",
"number": "1609690197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 OFFICE CLUB PT STE 237",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809205017",
"telephone_number": "320-500-2040",
"fax_number": "320-244-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 2ND ST W",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701506",
"telephone_number": "320-500-2040",
"fax_number": "320-244-7958"
}
],
"practiceLocations": [
{
"address_1": "1880 Office Club Pt Ste 265",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809205019",
"country_code": "US",
"telephone_number": "320-500-2040",
"fax_number": "320-244-7958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1880 Office Club Pt Ste 237",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809205017",
"country_code": "US",
"telephone_number": "320-500-2040",
"fax_number": "320-244-7958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHWIND HOLISTIC PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-11",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-500-2040",
"authorized_official_credential": "DMSC, PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.