ACTIFY NEUROTHERAPIES, PLLC


Address: 115 Elm St Ste I, Farmington, MN 55024-1031
Phone: 8885668774

ACTIFY NEUROTHERAPIES, PLLC (NPI# 1174156152) 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) 1174156152
Entity Type Organization
Organization Name ACTIFY NEUROTHERAPIES, PLLC
Practice Address 115 Elm St Ste I
Farmington
MN 55024-1031
Mailing Address 800 Bunn Dr Ste 304
Princeton
NJ 08540-1968
Practice Telephone 8885668774
Mailing Telephone 8885668774
Enumeration Date 2020-02-18
Last Update Date 2020-02-18
Authorized Official Name STEVEN LEVINE (MANAGING MEMBER)
Authorized Official Telephone 6096514429
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184257032 Actify Neurotherapies, Pllc Psychiatry & Neurology 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 2020-02-19
1083247134 Actify Neurotherapies, Pllc Psychiatry & Neurology 28475 Greenfield Rd Ste 113, Southfield, MI 48076-3034 2020-02-18

Office Location

Street Address 115 ELM ST STE I
City FARMINGTON
State MN
Zip Code 55024-1031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932758158 Renetia Jackson Technician 1210 Spruce Street, Farmington, MN 55024 2019-09-10
1871094912 Megan Provost Registered Nurse 17680 Formosa Ave, Farmington, MN 55024 2018-02-23
1356752463 Your Vision Achieved, LLC Marriage & Family Therapist 5404 187th Street West, Farmington, MN 55024 2014-05-12
1427304203 Joseph Samuel Emond Jr. Family Medicine 19730 Meadowlark Way, Farmington, MN 55024 2012-07-30
1053680991 Annie Lee Mickelson Chiropractor 20700 Chippendale Ave Suite 7, Farmington, MN 55024 2011-12-21
1770770828 Grand St Paul Cvs LLC Durable Medical Equipment & Medical Supplies 19605 Pilot Knob Rd., Farmington, MN 55024 2007-10-02
1275725277 Family Vision Clinic of Farmington Optometrist 19650 Pilot Knob Road, Farmington, MN 55024 2007-08-14
1871503136 Independent School District #192 Early Intervention Provider Agency 20655 Flagstaff Avenue, Farmington, MN 55024 2006-08-09
1588692669 Northfield Hospital Clinic/Center 4645 Knutsen Dr, Farmington, MN 55024 2006-06-29
1902887284 David E Truax Chiropractor 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 2005-11-14
Find all providers in zip 55024

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679950984 Jafreen Ahmed Psychiatry & Neurology 263 Farmington Ave # Mc1410, Farmington, CT 06030-0002 2015-05-06
1568705978 Phelan Elizabeth Maruca-sullivan Psychiatry & Neurology 10 Talcott Nothc, Farmington, CT 06032-0001 2013-04-03
1659647519 Thomas J. Vanhoof Psychiatry & Neurology 14 Crestwood Cir, Farmington, CT 06032-1123 2012-03-26
1134312671 David Matuskey Psychiatry & Neurology 10 Talcott Notch Rd Ste 3e, Farmington, CT 06032-1800 2007-08-18
1275639106 John Sytsma Psychiatry & Neurology 144 High St, Farmington, ME 04938-1946 2006-09-16
1629084710 Matthew J Gardiner Psychiatry & Neurology 808 Spring Pond Dr, Farmington, UT 84025-3853 2006-07-31
1457371049 Sohrab Zahedi Psychiatry & Neurology 6 Forest Park Dr, Suite # 5, Farmington, CT 06032-1480 2006-07-19
1366474462 Carole Black Cohen Psychiatry & Neurology 10 Forest Park Dr, Farmington, CT 06032-1499 2006-07-07
1386613354 Glenn Konopaske Psychiatry & Neurology Uconn Health, Dept. of Psychiatry, 263 Farmington Ave, Farmington, CT 06030-0001 2006-03-14
1285609131 Michael Susco Psychiatry & Neurology 1386 Hathaway Dr, Suite A, Farmington, NY 14425-8973 2006-02-22
Find all providers in FARMINGTON

Competitor

Search similar providers

City FARMINGTON
Zip Code 55024

Improve Information

Please comment or provide details below to improve the information on ACTIFY NEUROTHERAPIES, PLLC.

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.

Trending Searches