HYBRID BEHAVIORAL HEALTH (NPI# 1477934438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477934438 |
| Entity Type | Organization |
| Organization Name | HYBRID BEHAVIORAL HEALTH |
| Practice Address |
2221 Polk St Ne Minneapolis MN 55418 |
| Mailing Address |
2221 Polk St Ne Minneapolis MN 55418-3713 |
| Practice Telephone | 8477215639 |
| Mailing Telephone | 8477215639 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | EVAN LIEBERMAN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8477215639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2221 POLK ST NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| 1174939961 | Emily Rose Van Wyk | Psychologist | 2355 Benjamin St Ne, Minneapolis, MN 55418 | 2014-07-01 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1689283772 | Raji Inc | Community/Behavioral Health | 2639 Nicollet Ave # 130, Minneapolis, MN 55408-1629 | 2020-07-24 |
| 1578188504 | Sound Connections Counseling | Community/Behavioral Health | 3747 Minnehaha Ave, Minneapolis, MN 55406-2857 | 2020-06-16 |
| 1285258111 | Recovery Alliance LLC | Community/Behavioral Health | 1421 Park Ave Ste 202, Minneapolis, MN 55404-1579 | 2020-06-06 |
| 1760015879 | Extended Health Services | Community/Behavioral Health | 1928 Portland Ave # S302, Minneapolis, MN 55404-3469 | 2020-02-17 |
| 1548800915 | Revive Roots, Pllc | Community/Behavioral Health | 3440 Portland Ave, Minneapolis, MN 55407-4861 | 2020-01-13 |
| 1477193944 | Leah Jacob Licsw LLC | Community/Behavioral Health | 100 W Franklin Ave Ste 301, Minneapolis, MN 55404-2446 | 2020-01-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55418 |
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| 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.