MAVERICK MENTAL HEALTH LLC
NPI 1093575581
Clinic/Center in Plymouth, MN

Q: What is Maverick Mental Health LLC's NPI number?

The NPI number for Maverick Mental Health LLC is 1093575581. It was assigned to this organization in the NPPES registry on March 20, 2024.

Q: What is Maverick Mental Health LLC's specialty?

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

Active since March 20, 2024

9900 13TH AVE N STE 210, PLYMOUTH, MN 55441(612) 310-2537 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maverick Mental Health Llc NPPES

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

MAVERICK MENTAL HEALTH LLC (NPI 1093575581) is a healthcare organization registered as a clinic/center in Plymouth, Minnesota and active in the NPI registry since March 2024. The organization lists Maktal Abdifatah Mohamed, Owner, as its authorized official.

NPPES Registry Identity

NPI1093575581

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMAVERICK MENTAL HEALTH LLC

Location Address9900 13TH AVE N STE 210Plymouth, MN 55441-5068

Mailing Address9900 13th Ave N Ste 210Plymouth, MN 55441-5068

Phone(612) 310-2537

Organization SubpartNo

Authorized OfficialMaktal Abdifatah MohamedOwner · (612) 310-2537

Enumeration DateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1093575581 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).

9900 13TH AVE N STE 210, Plymouth, MN 55441

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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 Maverick Mental Health LLC's NPI number?

The NPI number for Maverick Mental Health LLC is 1093575581. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Maverick Mental Health LLC located?

Maverick Mental Health LLC is located at 9900 13th Ave N Ste 210, Plymouth, MN 55441. The listed phone number is (612) 310-2537.

What is Maverick Mental Health LLC'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 Maverick Mental Health LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.