Organization Active NPI

Hyland Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, MN
National Provider Identifier
1932802485
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HYLAND PSYCHIATRY
Practice address
7805 Telegraph Rd Ste 220
Bloomington, MN 55438-3408
Phone
(612) 200-3839
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Kendall Monroe, APRNNPI 1356885644
Title
Manager
Phone
(763) 363-1698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7805 Telegraph Rd Ste 220
Bloomington, MN 55438-3408

Mailing address

7805 Telegraph Rd Ste 220
Bloomington, MN 55438-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716003983 MN Part B Supplier - Clinic/Group Practice 9931644770 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations

7805 Telegraph Rd
Ste 220
Minneapolis, MN 55438
Phone (612) 200-3839

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1932802485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 TELEGRAPH RD STE 220",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 TELEGRAPH RD STE 220",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383408",
            "telephone_number": "612-200-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYLAND PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-363-1698",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.