NORTHEAST YOUTH & FAMILY SERVICES
NPI 1073098810
Clinic/Center - Community Health in White Bear Lake, MN

Active since September 27, 2018
1280 N BIRCH LAKE BLVD, WHITE BEAR LAKE, MN 55110(651) 429-8544(651) 407-5301 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Youth & Family Services NPPES

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

NORTHEAST YOUTH & FAMILY SERVICES (NPI 1073098810) is a healthcare organization registered as a community health in White Bear Lake, Minnesota and active in the NPI registry since September 2018. The organization lists Lisa M Paquet, Clinic Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1073098810
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameNORTHEAST YOUTH & FAMILY SERVICES
Location Address1280 N BIRCH LAKE BLVDWhite Bear Lake, MN 55110-6708
Mailing Address3490 Lexington Ave N Ste 205Shoreview, MN 55126-8044 · (651) 486-3808 · Fax (651) 486-3858
Fax(651) 407-5301
Organization SubpartYes
Authorized OfficialLisa M PaquetClinic Operations Manager · (651) 379-3443
Enumeration DateSeptember 27, 2018
NPI 1073098810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
1280 N BIRCH LAKE BLVD, White Bear Lake, MN 55110

Other Identifiers 1

OtherA880726400MN · Upi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1280 N BIRCH LAKE BLVD
WHITE BEAR LAKE, MN 55110

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 Northeast Youth & Family Services's NPI number?

The NPI number for Northeast Youth & Family Services is 1073098810. It was assigned to this organization in the NPPES registry on September 27, 2018.

Where is Northeast Youth & Family Services located?

Northeast Youth & Family Services is located at 1280 N Birch Lake Blvd, White Bear Lake, MN 55110. The listed phone number is (651) 429-8544.

What is Northeast Youth & Family Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Northeast Youth & Family Services was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.