Individual provider Active NPI

Maria Harmandayan, M.D.

  • Psychiatry Physician
  • Vadnais Heights, MN
National Provider Identifier
1669664918
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50650 Issued in MN
Practice address
3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186
Phone
(507) 284-2511
NPI assigned
Aug 10, 2007
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50650 MN Primary

Addresses

Primary practice location

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Mailing address

3200 Labore Rd Ste 104
Vadnais Heights, MN 55110-5186

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000153 MN Practitioner - Psychiatry 5991884314 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103572MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Hospital Bemidji CurrentSince Dec 1, 2024 Accepting new patients
Community Behavioral Health Hospital Annandale CurrentSince Feb 1, 2025 Accepting new patients
Anoka Metro Regional Treatment Center CurrentSince Dec 1, 2024 Accepting new patients
Child and Adolescent Behavioral Health Services CurrentSince Dec 1, 2024 Accepting new patients
Community Behavioral Health Hospital Alexandria CurrentSince Feb 1, 2025 Accepting new patients
Southern Cities Clinic CurrentSince Sep 1, 2024 Accepting new patients
Community Behavioral Health Hospital-Baxter CurrentSince Dec 1, 2024 Accepting new patients
Community Behavioral Health Hospital-Rochester CurrentSince Feb 1, 2025 Accepting new patients
Community Behavioral Health Hospital-Fergus Falls CurrentSince Dec 1, 2024 Accepting new patients
Southern Cities Community Clinic PastSince Sep 1, 2024 Accepting new patients

Locations

1610 8th Ave E
Alexandria, MN 56308
Phone (320) 335-6201

3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000

14241 Grand Oaks Dr
Baxter, MN 56425
Phone (218) 316-3101

800 Bemidji Ave N
Bemidji, MN 56601
Phone (218) 209-5952

400 4th St NW
Faribault, MN 55021
Phone (507) 384-6830

251 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 206-2561

3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (651) 392-7956

2301 Transportation Rd
Willmar, MN 56201
Phone (320) 441-0120

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1669664918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 104",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105186",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMANDAYAN",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "50650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.