NPIMap

Organization Active NPI

Mercy Behavioral Health PLLC

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1831814904
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MERCY BEHAVIORAL HEALTH PLLC
Practice address
100 S. Washington Ave
Minneapolis, MN 55401
Phone
(762) 241-3929
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Janet Oladipo, ARNP
Title
Pmhnp
Phone
(762) 241-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

100 S. Washington Ave
Minneapolis, MN 55401

Mailing address

1242 State Ave Ste I
Marysville, WA 98270-3672

Other names 1

  • Mercy Behavioral Health PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1242 State Ave
Ste I
Marysville, WA 98270

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1831814904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 STATE AVE STE I",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. WASHINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "762-241-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "OLADIPO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "762-241-3929",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Behavioral Health PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2022; 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.