Organization Active NPI

Maji Therapy PLLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1619621950
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAJI THERAPY PLLC
Practice address
1730 New Brighton Blvd Ste 104-315
Minneapolis, MN 55413-1248
Phone
(734) 957-6632
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mrs. Nadia L Sullivan-Marshall, LICSW
Title
Mental Health Therapist
Phone
(734) 957-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1730 New Brighton Blvd Ste 104-315
Minneapolis, MN 55413-1248

Mailing address

1730 New Brighton Blvd Ste 104-315
Minneapolis, MN 55413-1248
Phone (734) 957-6632

National Provider Directory

National Provider Directory

Locations

1730 New Brighton Blvd
Ste 104315
Minneapolis, MN 55413
Phone (734) 957-6632

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": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1619621950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NEW BRIGHTON BLVD STE 104-315",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131248",
            "telephone_number": "734-957-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NEW BRIGHTON BLVD STE 104-315",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131248",
            "telephone_number": "734-957-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJI THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN-MARSHALL",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "734-957-6632",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.