YOURTIME PSYCHIATRY AND MEDICAL CANNABIS LLC
NPI 1164112090
Clinic/Center in Maple Grove, MN

Active since May 12, 2023
6341 ITHACA LN N, MAPLE GROVE, MN 55311(612) 458-3374 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yourtime Psychiatry And Medical Cannabis Llc NPPES

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

YOURTIME PSYCHIATRY AND MEDICAL CANNABIS LLC (NPI 1164112090) is a healthcare organization registered as a clinic/center in Maple Grove, Minnesota and active in the NPI registry since May 2023. The organization lists John Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1164112090
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameYOURTIME PSYCHIATRY AND MEDICAL CANNABIS LLC
Location Address6341 ITHACA LN NMaple Grove, MN 55311-4147
Mailing Address6341 Ithaca Ln NMaple Grove, MN 55311-4147
Organization SubpartNo
Authorized OfficialJohn HarrisonOwner · (612) 458-3374
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1164112090 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).
6341 ITHACA LN N, Maple Grove, MN 55311

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)

Yourtime Psychiatry And Medical Cannabis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Yourtime Psychiatry And Medical Cannabis LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Marriage and Family Therapist2
Certified Clinical Nurse Specialist (CNS)1
Mental Health Counselor1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1902730245
15605 59TH PL N
Plymouth, MN 55446
(612) 867-1382
✔ PECOS0.9 mi
Marriage and Family Therapist
NPI 1063996080
9400 ZANE AVE N
Brooklyn Park, MN 55443
(952) 826-8475
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1003664525
19427 136TH AVE N
Rogers, MN 55374
(763) 516-4476
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1205418340
625 HAYWARD AVE N
Oakdale, MN 55128
(651) 410-7955
✔ PECOS26 mi
Marriage and Family Therapist
NPI 1467794529
900 6TH ST N STE 105
Hudson, WI 54016
(651) 600-6204
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1043072697
7365 BROADWAY AVE N
Rochester, MN 55906
(507) 206-7485
✔ PECOS84 mi
Nurse Practitioner
NPI 1134687874
700 CEDAR ST SPC 130
Alexandria, MN 56308
(701) 720-4687
✔ PECOS✔ Accepts Medicare109 mi
Mental Health Counselor
NPI 1154898351
2405 8TH ST S STE 200
Moorhead, MN 56560
(218) 331-4866
✔ PECOS✔ Accepts Medicare201 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1457129470
816 MARIN AVE STE 125
Crookston, MN 56716
(218) 416-4413
✔ PECOS✔ Accepts Medicare240 mi
Nurse Practitioner
NPI 1629327010
2501 N STOCKTON HILL RD STE 108
Kingman, AZ 86401
(928) 255-5050
✔ PECOS✔ Accepts Medicare1,279 mi

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 Yourtime Psychiatry And Medical Cannabis LLC's NPI number?

The NPI number for Yourtime Psychiatry And Medical Cannabis LLC is 1164112090. It was assigned to this organization in the NPPES registry on May 12, 2023.

Where is Yourtime Psychiatry And Medical Cannabis LLC located?

Yourtime Psychiatry And Medical Cannabis LLC is located at 6341 Ithaca Ln N, Maple Grove, MN 55311. The listed phone number is (612) 458-3374.

What is Yourtime Psychiatry And Medical Cannabis LLC's specialty?

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

Is Yourtime Psychiatry And Medical Cannabis LLC enrolled in Medicare?

Yes. Yourtime Psychiatry And Medical Cannabis LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yourtime Psychiatry And Medical Cannabis LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Yourtime Psychiatry And Medical Cannabis LLC. 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 (6), Marriage and Family Therapist (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Yourtime Psychiatry And Medical Cannabis LLC accept?

Health plans from HealthPartners list Yourtime Psychiatry And Medical Cannabis LLC 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 Yourtime Psychiatry And Medical Cannabis LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.