Active NPI
Nicholas Austin, M.D.
- Psychiatry Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 58517
- Practice address
- 640 Jackson St
Department of Psychiatry, Mail Stop 11302C
Saint Paul, MN 55101 - Phone
- (952) 883-5202
- NPI assigned
- Apr 10, 2012
- Last updated
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 58517 | MN | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036138207 | IL |
Addresses
Primary practice location
640 Jackson St
Department of Psychiatry, Mail Stop 11302C
Saint Paul, MN 55101
Mailing address
640 Jackson St.
Department of Psychiatry, Mail Stop 11302C
St. Paul, MN 55101-3011
Phone (952) 883-5202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MN, MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Minnesota Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11560 S Kedzie Ave
Suite 200
Merrionette Park, IL 60803-4517
Phone (312) 986-4000
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58517 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Skies Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Psychiatry | Current | Accepting new patients |
| Montcalm Care Network | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Copper Country Community Mental Health Services Board | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Copper Country Community Mental Health Services Board | Current | Accepting new patients | |
| St. Croix Psychiatric, LLC | Psychiatry | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Metropolitan Family Services | Past | Accepting new patients |
Locations
101 N Wacker Dr
Fl 17
Chicago, IL 60606
Phone (312) 898-6721
3249 N Central Ave
Chicago, IL 60634
Phone (773) 371-3700
11560 S Kedzie Ave
Ste 200
Merrionette Park, IL 60803
Phone (708) 974-5800
222 E Willow Ave
Wheaton, IL 60187
Phone (630) 682-1802
15644 Skanee Rd
Lanse, MI 49946
Phone (906) 524-5885
611 N State St
Stanton, MI 48888
Phone (989) 831-7520
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
640 Jackson St
Stop 11302C
Saint Paul, MN 55101
Phone (651) 254-4786
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
Organizations & group practices 14
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrionette Park, IL
- NPI 1629283411
-
- Community/Behavioral Health Agency
- Stanton, MI
- NPI 1710074448
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba PrairieCare Medical Group
- Psychiatry Physician
- Woodbury, MN
- NPI 1881849586
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houghton, MI
- NPI 1881607497
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Psychiatry Physician
- Owatonna, MN
- NPI 1154955136
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Community/Behavioral Health Agency
- Ontonagon, MI
- NPI 1780871137
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodridge, IL
- NPI 1689995029
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1831455211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 JACKSON ST.",
"address_2": "DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "551013011",
"telephone_number": "952-883-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"address_2": "DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55101",
"telephone_number": "952-883-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-10",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "58517",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036138207",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.