Organization Active NPI

Metro Behavioral Consultants PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn Park, MN
National Provider Identifier
1659170843
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
METRO BEHAVIORAL CONSULTANTS PLLC
Doing business as
Metro Behavioral Consultants PLLC
Practice address
7420 Unity Ave N Ste 305
Brooklyn Park, MN 55443-3136
Phone
(612) 212-2595
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dr. Raphael Omoto, DNP
Title
Director
Phone
(612) 212-2595

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 Ste 305
Brooklyn Park, MN 55443-3136

Mailing address

7420 Unity Ave N Ste 305
Brooklyn Park, MN 55443-3136
Phone (612) 212-2595

Other names 1

  • Metro Behavioral Consultants PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1659170843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N STE 305",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433136",
            "telephone_number": "612-212-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 UNITY AVE N STE 305",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433136",
            "telephone_number": "612-212-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO BEHAVIORAL CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "OMOTO",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-212-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "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": [
        {
            "organization_name": "Metro Behavioral Consultants PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2025; 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.