NPIMap

Organization Active NPI

Nova Mental Health LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1952094054
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVA MENTAL HEALTH LLC
Practice address
375 University Ave W
#213
Saint Paul, MN 55103
Phone
(612) 719-7872
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Rebecca Her
Title
Owner
Phone
(612) 719-7872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

375 University Ave W
#213
Saint Paul, MN 55103

Mailing address

375 University Ave W
#213
Saint Paul, MN 55103

National Provider Directory

National Provider Directory

Locations

375 University Ave W
#213
Saint Paul, MN 55103
Phone (612) 719-7872

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1952094054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 UNIVERSITY AVE W",
            "address_2": "#213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 UNIVERSITY AVE W",
            "address_2": "#213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "612-719-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-719-7872"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.