Minnesota Behavioral Health PLLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

MINNESOTA BEHAVIORAL HEALTH PLLC

Practice address

14300 Nicollet CT Ste 130
Burnsville, MN 55306-3422

Phone

(952) 393-1772

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Habon MohamedNPI 1194378117

Title

Owner

Phone

(952) 393-1772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Habon Abdullahi Mohamed

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1194378117

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Mainhia Moua

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1306204391
  Medicare reassignment Care Compare group NPD
• Ngozi Miriam Ohaegbulem, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakdale, MN
  • NPI 1407676604
  Medicare reassignment Care Compare group NPD
• Ginika Onyinyechukwu Osakwe, DNP

  • Family Nurse Practitioner
  • Brooklyn Park, MN
  • NPI 1245078831
  Medicare reassignment Care Compare group NPD
• Vivian Lee

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1124624945
  Medicare reassignment NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1912685132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-393-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NICOLLET CT STE 130",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553063422",
            "telephone_number": "952-393-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HABON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-393-1772"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeann Fay Minnaert, D.C.
• Minnemt, LLC
• Minnesota Allergy & Asthma Clinic, PA
• Minnesota Allergy and Asthma Consultants, PLLC
• Minnesota Behavior and Learning Center
• Minnesota Community Hospice Inc (The Lodge on Summit Oaks)
• Minnesota Community Hospice Inc (The Lodge on Natchez)
• Minnesota Dental Professionals, P.C. (Mosaic Dental-Burnsville/Ridges)
• Minnesota Dental Professionals, P.C. (Mosaic Dental-Burnsville/Nicollet)
• Minnesota Dental Professionals, P.C. (Braveland Family Dental)

• Psychiatric/Mental Health Clinical Nurse Specialist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.