UNIVERSITY OF MINNESOTA PHYSICIANS


Address: 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275
Phone: 1227387106

UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1144368531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144368531
Entity Type Organization
Organization Name UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address 5775 Wayzata Blvd Ste 255
St Louis Park
MN 55416-1275
Mailing Address 6300 Shingle Creek Pkwy
Ste 600
Brooklyn Center
MN 55430-2124
Practice Telephone 1227387106
Practice Fax Number 6122738727
Mailing Telephone 7637826400
Mailing Fax Number 7637829558
Enumeration Date 2007-02-01
Last Update Date 2020-02-25
Authorized Official Name MARY A JOHNSON (CHIEF OPERATING OFFICER)
Authorized Official Telephone 6128840802
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 701372800 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124274527 University of Minnesota Physicians Clinic/Center 901 Second St S, Suite A, Minneapolis, MN 55415 2008-08-18
1558408161 University of Minnesota Physicians Clinic/Center 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 2007-01-31
1164569679 University of Minnesota Physicians Clinic/Center 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 2007-01-31
1477598118 University of Minnesota Physicians Clinic/Center 420 Delaware St Se Mmc 126, University of Minnesota Physicians, Minneapolis, MN 55455-0341 2006-06-17
1710592837 University of Minnesota Physicians Clinic/Center 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 2020-09-15
1467850206 University of Minnesota Physicians Clinical Medical Laboratory 1200 Washington Ave S, Minneapolis, MN 55415-1295 2014-12-10
1730586819 University of Minnesota Physicians Clinic/Center 814 South 3rd St, Minneapolis, MN 55415 2014-12-04
1922407980 University of Minnesota Physicians Counselor 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 2014-08-15
1952546061 University of Minnesota Physicians Clinic/Center 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 2008-12-04
1073650677 University of Minnesota Physicians Clinic/Center 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 2007-01-31

Office Location

Street Address 5775 WAYZATA BLVD STE 255
City ST LOUIS PARK
State MN
Zip Code 55416-1275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740771112 Christa Joyce Reader Social Worker 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 2018-05-22
1437695624 Laura Linner Social Worker 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 2017-01-11
1225350333 Jeffrey R Bishop Pharmacist 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 2010-02-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396300877 Empowerment Solutions Clinic/Center 2849 Jersey Ave S, St Louis Park, MN 55426-3305 2019-05-09
1831514876 Arbor Therapy Center, LLC Clinic/Center 1660 Highway 100 S Ste 300, St Louis Park, MN 55416-1563 2014-02-27
1326486507 Aspen Psychological Consulting, LLC Clinic/Center 1660 Highway 100 S Ste 332, St Louis Park, MN 55416-1573 2013-06-10
1699196337 Marie Casey Olseth, Md, LLC Clinic/Center 1550 Utica Ave S, Ste 450, St Louis Park, MN 55416-5312 2013-12-24
1477859940 W Wade Phd Lp LLC Clinic/Center 4500 Park Glen Rd, Suite 270, St Louis Park, MN 55416-4871 2011-02-01
1508053273 Clinical Psychopharmacology Consultants, Pa Clinic/Center 3601 Park Center Blvd, Suite 207, St Louis Park, MN 55416-2531 2007-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174123376 Como Behavioral Care LLC Clinic/Center 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112-3235 2020-10-27
1962000646 Life Care Health Services LLC Clinic/Center 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 2020-10-14
1639788755 Cazares Professional Therapy Clinic/Center 166 Farrington St, Saint Paul, MN 55102-2104 2020-07-24
1770100877 Halabrin Marty and Associates Clinic/Center 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 2020-07-06
1891312732 Healthy Balance Psychology, LLC Clinic/Center 1550 Sunset Dr Sw, Owatonna, MN 55060-3854 2020-06-26
1134745300 Quality Care Counseling Services LLC Clinic/Center 4141 Central Ave Ne Ste 250, Columbia Heights, MN 55421-3611 2020-06-23
1780207829 Amazing You Therapy, LLC Clinic/Center 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 2020-05-23
1609499813 Bright Place LLC Clinic/Center 3835 Bakken Blvd, Columbia Heights, MN 55421-5056 2020-05-21
1568082428 Cloud Home Health Care Services LLC Clinic/Center 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 2020-04-21
1235763814 Monarch Wellness LLC Clinic/Center 51 E 4th St Ste 309, Winona, MN 55987-3791 2020-02-23
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Competitor

Search similar providers

City ST LOUIS PARK
Zip Code 55416

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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