Organization Active NPI

Sanvello Behavioral Health Services of Michigan, PC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1770193815
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANVELLO BEHAVIORAL HEALTH SERVICES OF MICHIGAN, PC
Practice address
150 S 5TH St Ste 825
Minneapolis, MN 55402-4200
Phone
(877) 441-0121
NPI assigned
Aug 4, 2020
Organization subpart
Yes
Parent organization
SANVELLO BEHAVIORAL HEALTH SERVICES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Monika Roots, MD
Title
Chief Medical Officer
Phone
(877) 441-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

150 S 5TH St Ste 825
Minneapolis, MN 55402-4200

Mailing address

150 S 5TH St Ste 825
Minneapolis, MN 55402-4200
Phone (877) 441-0121

National Provider Directory

National Provider Directory
Part of
Sanvello Behavioral PA

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1770193815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 825",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024200",
            "telephone_number": "877-441-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 825",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024200",
            "telephone_number": "877-441-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANVELLO BEHAVIORAL HEALTH SERVICES OF MICHIGAN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANVELLO BEHAVIORAL HEALTH SERVICES, P.A.",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "ROOTS",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "877-441-0121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.