Organization Active NPI

Mytherapymn LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1932923331
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MYTHERAPYMN LLC
Practice address
10800 Lyndale Ave S Ste 210
Minneapolis, MN 55420-5689
Phone
(763) 328-6268
NPI assigned
Nov 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Zakaria Karie
Title
Co Owner
Phone
(763) 328-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

10800 Lyndale Ave S Ste 210
Minneapolis, MN 55420-5689

Mailing address

10800 Lyndale Ave S Ste 210
Minneapolis, MN 55420-5689

National Provider Directory

National Provider Directory

Locations

10800 Lyndale Ave S
Ste 210
Minneapolis, MN 55420
Phone (612) 400-4752

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1932923331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554205689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554205689",
            "telephone_number": "763-328-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHERAPYMN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "KARIE",
        "authorized_official_first_name": "ZAKARIA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "763-328-6268"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.