Passport Mental Health Journey

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PASSPORT MENTAL HEALTH JOURNEY

Practice address

1380 84TH LN N
Brooklyn Park, MN 55444-1443

Phone

(763) 308-5080

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Olubola Omolara Salabiu, PMHNPNPI 1316677602

Title

DNP, Aprn, Pmhnp-BC

Phone

(763) 308-5080

Specialties & licenses 1

Addresses

Practitioners 1

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

• Olubola Omolara Salabiu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1316677602

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1922860303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 84TH LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441443",
            "telephone_number": "763-308-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 84TH LN N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441443",
            "telephone_number": "763-308-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT MENTAL HEALTH JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SALABIU",
        "authorized_official_first_name": "OLUBOLA",
        "authorized_official_middle_name": "OMOLARA",
        "authorized_official_title_or_position": "DNP, APRN, PMHNP-BC",
        "authorized_official_telephone_number": "763-308-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Parkin
• Carolyn Dorothy Parsons, PSYD, LP
• Partnership Home Care
• Holly Passet
• Passport Health Holdings, LLC
• Pathway Recuperative Care
• Patient Care Services
• Patient Centered Care
• Patient Centered Home Care Services, LLC.
• Patient Centered Medicine LLC

• Psychiatry Physician in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.