Active NPI
Rebekah Radmanesh, M.D.
- Psychiatry Physician
- Anoka, MN
National Provider Identifier
1881743953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 75886
- Practice address
- 3301 7TH Ave Ste 104
Anoka, MN 55303-4516 - Phone
- (651) 431-5000
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- 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 | 103297 | MO | |
| Psychiatry Physician | 2084P0800X | 75886 | MN | Primary |
Addresses
Primary practice location
3301 7TH Ave Ste 104
Anoka, MN 55303-4516
Mailing address
3200 Labore Rd.
Suite 104
Vadnais Heights, MN 55110-5186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208589846 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75886 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anoka Metro Regional Treatment Center | Current | Accepting new patients | |
| Scott J Arbaugh MD | Psychiatry | Past | Accepting new patients |
| NPI 1467448274 | Past | Accepting new patients | |
| Essex County Treasurer | Past | Accepting new patients | |
| Matrix Health Systems P.C. | Past | Accepting new patients | |
| Northern Lights Sleep Medicine, PC | Past | Accepting new patients | |
| Northwest Psychiatric Associates, LTD | Psychiatry | Past | Accepting new patients |
Locations
3301 7th Ave
Ste 104
Anoka, MN 55303
Phone (651) 431-5000
3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000
3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Anoka, MN
- NPI 1275585564
-
- Mental Health Counselor
- Elizabethtown, NY
- NPI 1659485480
-
- Clinical Psychologist
- Burlington, VT
- NPI 1104872712
-
- Specialist
- Plattsburgh, NY
- NPI 1851437339
-
- Psychiatry Physician
- O Fallon, MO
- NPI 1962563429
-
- Psychiatry Physician
- Alton, IL
- NPI 1104007467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1881743953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 LABORE RD.",
"address_2": "SUITE 104",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551105186",
"fax_number": "651-431-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 7TH AVE STE 104",
"city": "ANOKA",
"state": "MN",
"postal_code": "553034516",
"telephone_number": "651-431-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADMANESH",
"first_name": "REBEKAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "103297",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "75886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208589846",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.