Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHMARK PSYCHIATRY LLC
NPI 1043125289
Nurse Practitioner - Psychiatric/Mental Health in Blaine, MN

Q: What is Northmark Psychiatry LLC's NPI number?

The NPI number for Northmark Psychiatry LLC is 1043125289. It was assigned to this organization in the NPPES registry on August 14, 2026.

Q: What is Northmark Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 14, 2026

12860 STUTZ CT, BLAINE, MN 55449(908) 374-8661(763) 402-7807 Get Directions Write a Review

NPPES record added: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northmark Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHMARK PSYCHIATRY LLC (NPI 1043125289) is a healthcare organization registered as a psychiatric/mental health in Blaine, Minnesota and active in the NPI registry since August 2026. The organization lists Titilope Olaoluwa Omisakin, Owner, as its authorized official.

NPPES Registry Identity

NPI1043125289

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameNORTHMARK PSYCHIATRY LLC

Location Address12860 STUTZ CTBlaine, MN 55449-7497

Mailing Address12860 Stutz CtBlaine, MN 55449-7497 · (908) 374-8661 · Fax (763) 402-7807

Phone(908) 374-8661

Fax(763) 402-7807

Organization SubpartNo

Authorized OfficialTitilope Olaoluwa OmisakinOwner · (908) 374-8661

Enumeration DateAugust 14, 2026

NPPES CertifiedAugust 13, 2026

✔ NPI 1043125289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

12860 STUTZ CT, Blaine, MN 55449

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northmark Psychiatry LLC's NPI number?

The NPI number for Northmark Psychiatry LLC is 1043125289. It was assigned to this organization in the NPPES registry on August 14, 2026.

Where is Northmark Psychiatry LLC located?

Northmark Psychiatry LLC is located at 12860 Stutz Ct, Blaine, MN 55449. The listed phone number is (908) 374-8661.

What is Northmark Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Northmark Psychiatry LLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.