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DIVERGENT PATH THERAPY PLLC
NPI 1083598205
Clinic/Center in Minneapolis, MN

Active since August 01, 2025
4404 NICOLLET AVE APT 1, MINNEAPOLIS, MN 55419(612) 217-4890 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divergent Path Therapy Pllc NPPES

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

DIVERGENT PATH THERAPY PLLC (NPI 1083598205) is a healthcare organization registered as a clinic/center in Minneapolis, Minnesota and active in the NPI registry since August 2025. The organization lists Shane Prijatel-spare, Owner, as its authorized official.

NPPES Registry Identity

NPI1083598205
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIVERGENT PATH THERAPY PLLC
Location Address4404 NICOLLET AVE APT 1Minneapolis, MN 55419-2642
Mailing Address4404 Nicollet Ave Apt 1Minneapolis, MN 55419-2642
Phone(612) 217-4890
Organization SubpartNo
Authorized OfficialShane Prijatel-spareOwner · (612) 217-4890
Enumeration DateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1083598205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4404 NICOLLET AVE APT 1, Minneapolis, MN 55419
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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 Divergent Path Therapy PLLC's NPI number?

The NPI number for Divergent Path Therapy PLLC is 1083598205. It was assigned to this organization in the NPPES registry on August 1, 2025.

Where is Divergent Path Therapy PLLC located?

Divergent Path Therapy PLLC is located at 4404 Nicollet Ave Apt 1, Minneapolis, MN 55419. The listed phone number is (612) 217-4890.

What is Divergent Path Therapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Divergent Path Therapy PLLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.