Organization Active NPI

Northwind Holistic Psychiatry PLLC

  • Physician Assistant
  • Park Rapids, MN
National Provider Identifier
1609690197
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jun 27, 2026

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

Authorized official

Name
Tiffany Pittman, DMSC, PA-CNPI 1336641315
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)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.