NPIMap

Organization Active NPI

Psych North PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1760136964
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCH NORTH PLLC
Practice address
4628 Mike Colalillo Dr
Duluth, MN 55807-2732
Phone
(218) 209-2150
Fax
(833) 903-0315
NPI assigned
Feb 7, 2022
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Patrick BaileyNPI 1194749267
Title
Co-Owner
Phone
(218) 349-5689

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4628 Mike Colalillo Dr
Duluth, MN 55807-2732

Mailing address

PO Box 18
Rosemount, MN 55068-0018
Phone (651) 352-6363

Other practice location 1

1101 E 37th St Ste 5
Hibbing, MN 55746-2972
Phone (218) 209-2150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506000115 MN Part B Supplier - Clinic/Group Practice 9537546841 Receives reassigned benefits from 16 practitioners
Practice locations: Duluth, MN; Hibbing, MN

National Provider Directory

National Provider Directory

Locations

4628 Mike Colalillo Dr
Duluth, MN 55807
Phone (218) 209-2150

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1760136964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550680018",
            "telephone_number": "651-352-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 MIKE COLALILLO DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072732",
            "telephone_number": "218-209-2150",
            "fax_number": "833-903-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 E 37th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557462972",
            "country_code": "US",
            "telephone_number": "218-209-2150",
            "fax_number": "833-903-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCH NORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "218-349-5689"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.