Active NPI
Park Avenue Center
Doing business as Park Avenue Center Mental Health Services
- Psychologist
- Minneapolis, MN
National Provider Identifier
1710227103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PARK AVENUE CENTER
- Doing business as
- Park Avenue Center Mental Health Services
- Practice address
- 2430 Nicollet Ave
Minneapolis, MN 55404-3461 - Phone
- (612) 871-7443
- Fax
- (612) 871-0194
- NPI assigned
- Feb 21, 2013
- Organization subpart
- Yes
- Parent organization
- PARK AVENUE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Casagrande, M.A.
- Title
- Executive Director
- Phone
- (612) 871-7443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Mailing address
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Phone (612) 871-7443
Other names 1
- Park Avenue Center Mental Health Services
National Provider Directory
National Provider Directory- Tax ID family
- Park Avenue Center Mental Health Services
- Part of
- Park Avenue Center Mental Health Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Minneapolis, MN
- NPI 1720154081
-
- Substance Abuse Rehabilitation Facility
- Minneapolis, MN
- NPI 1174940076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1710227103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043461",
"telephone_number": "612-871-7443",
"fax_number": "612-871-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043461",
"telephone_number": "612-871-7443",
"fax_number": "612-871-0194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AVENUE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARK AVENUE CENTER",
"enumeration_date": "2013-02-21",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "CASAGRANDE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "612-871-7443",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Avenue Center Mental Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
- Sarah J Paris, M.D.
- Megan Elizabeth Pariseau, DPT
- Joseph J Pariser, M.D.
- Hannah Kelly Parish-Dunsworth, LPCC, LMHC
- Park Ave Center Inc
- Park Avenue Center Mental Health Services
- Park Behavioral Health & Addiction Services LLC
- Park Bench Therapy, LLC
- Park Nicollet Clinic
- Park Nicollet Health Care Products
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.