1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Nurse Practitioner
  6. NPI Profile

WILLOW TREE CLINIC
NPI 1093438491
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since September 21, 2022
345 SAINT PETER ST APT 1411, SAINT PAUL, MN 55102(320) 441-8661 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Dec 28, 2025, Sep 22, 2022 (3 updates tracked since 2022).

About Willow Tree Clinic NPPES

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

WILLOW TREE CLINIC (NPI 1093438491) is a healthcare organization registered as a psychiatric/mental health in Saint Paul, Minnesota and active in the NPI registry since September 2022. The organization lists Todd R Engle, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1093438491
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWILLOW TREE CLINIC
Location Address345 SAINT PETER ST APT 1411Saint Paul, MN 55102-3949
Mailing Address345 Saint Peter St Apt 1411Saint Paul, MN 55102-3949 · (320) 905-1445
Phone(320) 441-8661
Organization SubpartNo
Authorized OfficialTodd R EngleClinic Manager · (320) 905-1445
Enumeration DateSeptember 21, 2022
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1093438491 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
345 SAINT PETER ST APT 1411, Saint Paul, MN 55102
Open in Google Maps ↗

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 Willow Tree Clinic's NPI number?

The NPI number for Willow Tree Clinic is 1093438491. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Willow Tree Clinic located?

Willow Tree Clinic is located at 345 Saint Peter St Apt 1411, Saint Paul, MN 55102. The listed phone number is (320) 441-8661.

What is Willow Tree Clinic'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 Willow Tree Clinic was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.