Calmcare Psychiatry Clinic S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CALMCARE PSYCHIATRY CLINIC S.C.

Practice address

2219 Oakland Ave Ste 111
Minneapolis, MN 55404-3706

Phone

(612) 208-3593

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Princess Kou Gehyigon-Wallace, DNP,APRN,CNP

Title

MHNP

Phone

(763) 913-8125

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zubeyr Rashid Farah

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1568231686
  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1861239733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 OAKLAND AVE STE 111",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 OAKLAND AVE STE 111",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043706",
            "telephone_number": "612-208-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMCARE PSYCHIATRY CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "GEHYIGON-WALLACE",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "KOU",
        "authorized_official_title_or_position": "MHNP",
        "authorized_official_telephone_number": "763-913-8125",
        "authorized_official_credential": "DNP,APRN,CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Callaway
• Matthew Clayton Callier, MD
• Lisa S Callies, MD
• Samantha Rose Callisto, DPT
• Calm-Clinic for Attention, Learning, and Memor
• Ashley Marie Calore, AGNP-BC
• Stephen Eugene Calvit, LICSW
• Darryl Victor Calvo, M.D.
• Andres F Camacho, MD
• Joseph Daniel Camacho, PHARMD

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.