ATEJ PSYCHIATRIC SERVICES, LLC (NPI# 1295108348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295108348 |
| Entity Type | Organization |
| Organization Name | ATEJ PSYCHIATRIC SERVICES, LLC |
| Practice Address |
5901 Brooklyn Blvd Suite 202 Brooklyn Park MN 55429-2517 |
| Practice Telephone | 3162815114 |
| Practice Fax Number | 7632712707 |
| Mailing Telephone | 3162815114 |
| Mailing Fax Number | 7632712707 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | ONOJETA OHWEVWO (OWNER) |
| Authorized Official Telephone | 3162815114 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
R2179612 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5901 BROOKLYN BLVD SUITE 202 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55429-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912321092 | Maikia Vue | Specialist | 5901 Brooklyn Blvd, Suite 112, Brooklyn Park, MN 55429-2517 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245489939 | Randi Lee Norby | Clinical Nurse Specialist | 646 E River Rd Ste 1, Anoka, MN 55303 | 2008-09-17 |
| 1326026733 | Kristel Marlena Hart | Clinical Nurse Specialist | 1125 Se 6th St, Willmar, MN 56201 | 2006-01-05 |
| 1477849222 | Lindsay Marie Anderson | Clinical Nurse Specialist | 451 Lexington Pkwy N, Saint Paul, MN 55104-4636 | 2011-06-21 |
| 1093952137 | Kathleen M Simpson | Clinical Nurse Specialist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2009-01-12 |
| 1194866392 | Rosemary B Leonard | Clinical Nurse Specialist | 521 Broadway Avenue North, Five County Medical Health Center Braham, Braham, MN 55006 | 2007-02-09 |
| 1033285564 | Mary Margaret Andersen | Clinical Nurse Specialist | 11800 Singletree Ln, Suite 204, Eden Prairie, MN 55344-5328 | 2006-11-27 |
| 1497852313 | Jane Marie Sulzle | Clinical Nurse Specialist | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337 | 2006-09-20 |
| 1942306907 | Teresa Marie Swanson | Clinical Nurse Specialist | 7616 Currell Blvd, Suite 290, Woodbury, MN 55125-8204 | 2006-09-16 |
| City | BROOKLYN PARK |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on ATEJ PSYCHIATRIC SERVICES, LLC.
| 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.