NPIMap

Organization Active NPI

Neurostim TMS Minnesota PC

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1649005307
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEUROSTIM TMS MINNESOTA PC
Practice address
3033 Excelsior Blvd Ste 215
Minneapolis, MN 55416-5274
Phone
(253) 200-2764
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Amit Mohan, MDNPI 1821219841
Title
Chief Medical Officer
Phone
(253) 200-5763

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3033 Excelsior Blvd Ste 215
Minneapolis, MN 55416-5274

Mailing address

10700 Meridian Ave N # 406
Seattle, WA 98133-9008
Phone (206) 620-1665

Other names 1

  • NeuroStim TMS Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414001585 MN Part B Supplier - Clinic/Group Practice 7214451046 Receives reassigned benefits from 4 practitioners
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations

7760 France Ave S
Ste 902
Bloomington, MN 55435
Phone (888) 963-3467

3033 Excelsior Blvd
Ste 215
Minneapolis, MN 55416
Phone (612) 293-6523

Practitioners & affiliated clinicians

Practitioners 10

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": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1649005307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MERIDIAN AVE N # 406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339008",
            "telephone_number": "206-620-1665",
            "fax_number": "206-620-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165274",
            "telephone_number": "253-200-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSTIM TMS MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-200-5763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroStim TMS Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 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.

Verify at the official NPI Registry.