New Leaf Therapy, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

24571 Issued in MN

Legal business name

NEW LEAF THERAPY, INC.

Practice address

1935 County Road B2 W Ste 240
Roseville, MN 55113-2722

Phone

(203) 710-1992

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Robinson, LICSWNPI 1285005603

Title

President

Phone

(203) 710-1992

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Robinson, LICSW

  • Social Worker
  • Arden Hills, MN
  • NPI 1285005603
  NPD (past) Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1659863173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 JUNIPER ST",
            "city": "MAHTOMEDI",
            "state": "MN",
            "postal_code": "551151502",
            "telephone_number": "203-710-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 240",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132722",
            "telephone_number": "203-710-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-710-1992",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "24571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Nelson, PHARM.D.
• Randal Nelson, P.A.
• Nest Care Services LLC
• Neve Inc
• Sameer Nevile, M.D.
• Bailey Newell, MA, LMFT
• Susanna M Newsome, R.N.
• Lucy Njeri Ngure, RN
• Thanh Son Thi Nguyen-Kelly, PH.D., LP, DABPS
• Doan Trang Nguyen, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseville, MN
• Providers in Roseville, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.