ALLINA HEALTH ADDICTION AND PSYCHOTHERAPY-MERCY HOSPITAL-UNITY CAMPUS
NPI 1083197214
Psychologist - Addiction (Substance Use Disorder) in Fridley, MN

Active since September 13, 2018
520 OSBORNE RD NE, STE 120, FRIDLEY, MN 55432(763) 236-4300 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2023, Aug 31, 2020, Nov 25, 2019 and 1 more (4 updates tracked since 2018).

About Allina Health Addiction And Psychotherapy-mercy Hospital-unity Campus NPPES

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

ALLINA HEALTH ADDICTION AND PSYCHOTHERAPY-MERCY HOSPITAL-UNITY CAMPUS (NPI 1083197214) is a healthcare organization registered as an addiction (substance use disorder) in Fridley, Minnesota and active in the NPI registry since September 2018. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1083197214
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameALLINA HEALTH SYSTEM
Location Address520 OSBORNE RD NE, STE 120Fridley, MN 55432-2718
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateSeptember 13, 2018
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1083197214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
520 OSBORNE RD NE, STE 120, Fridley, MN 55432

Other Names 1

Doing Business AsAllina Health Addiction And Psychotherapy-mercy Hospital-unity Campus

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allina Health Addiction And Psychotherapy-mercy Hospital-unity Campus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,724

Medicare enrollment records show 3,724 clinicians reassign Medicare billing to Allina Health Addiction And Psychotherapy-Mercy Hospital-Unity Campus, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 860 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 67

Nurse Practitioner566
Internal Medicine425
Family Practice391
Diagnostic Radiology317
Certified Registered Nurse Anesthetist (CRNA)307
Obstetrics/Gynecology135
Clinical Psychologist132
Psychiatry128
59 other specialties1,323

Nearest to this location (20)

See all 3,724
Psychiatry
NPI 1053939538
520 OSBORNE RD NE STE 120
Fridley, MN 55432
(763) 236-4300
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1245955459
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568282788
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1154253243
520 OSBORNE RD NE STE 120
Fridley, MN 55432
(763) 236-4300
✔ PECOSSame address
Addiction Medicine
NPI 1912526419
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1538789631
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1952276826
520 OSBORNE RD NE; STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOSSame address
Clinical Psychologist
NPI 1417558321
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1881370948
520 OSBORNE RD NE; STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOSSame address
Clinical Social Worker
NPI 1093277238
520 OSBORNE RD NE
Fridley, MN 55432
(763) 236-7958
✔ PECOSSame address
Clinical Psychologist
NPI 1104054329
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1396173746
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1972185940
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1689478745
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487431177
520 OSBORNE RD NE STE 120
Fridley, MN 55432
(763) 236-4300
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1073342085
520 OSBORNE RD NE STE 120
Fridley, MN 55432
(763) 236-4300
✔ PECOS✔ Accepts MedicareSame address
Addiction Medicine
NPI 1700865300
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1154050862
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOSSame address
Nurse Practitioner
NPI 1134524242
520 OSBORNE RD NE STE 120
Fridley, MN 55432
(763) 236-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518551795
520 OSBORNE RD NE STE 210
Fridley, MN 55432
(763) 236-3800
✔ PECOS✔ Accepts MedicareSame address
See all 3,724 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Allina Health System's NPI number?

The NPI number for Allina Health System is 1083197214. It was assigned to this organization in the NPPES registry on September 13, 2018. The provider is doing business as Allina Health Addiction And Psychotherapy-Mercy Hospital-Unity Campus.

Where is Allina Health System located?

Allina Health System is located at 520 Osborne Rd NE, Ste 120, Fridley, MN 55432. The listed phone number is (763) 236-4300.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,724 clinicians in 67 Medicare specialties reassign their Medicare billing to Allina Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (566), Internal Medicine (425) and Family Practice (391). Of these, 28 practice at this address and 860 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allina Health System accept?

Health plans from HealthPartners list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.