NPI 1598700528 · live from the CMS NPI Registry
Allina Health System
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fridley, MN. National Provider Identifier 1598700528, active.
NPI record
| NPI | 1598700528 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 520 Osborne Rd Ne Ste 210, Fridley, MN 55432 |
| Practice phone | 763-236-3800 |
| Mailing address | Po Box 43, Mr 10585, Minneapolis, MN 55440 |
| Enumerated | June 16, 2006 |
| Last updated | February 24, 2025 |
| Authorized official | Dominica Tallarico, Coo |
| Other names | Allina Health Mental Health - Mercy Hospital, Unity Campus |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.