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SKYLINE MENTAL HEALTH SERVICES LLC
NPI 1174379176
Clinic/Center in Maple Grove, MN

Active since April 29, 2024
10944 QUANTICO LN N, MAPLE GROVE, MN 55369(763) 445-4693 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Nov 24, 2025, Apr 29, 2024 (3 updates tracked since 2024).

About Skyline Mental Health Services Llc NPPES

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

SKYLINE MENTAL HEALTH SERVICES LLC (NPI 1174379176) is a healthcare organization registered as a clinic/center in Maple Grove, Minnesota and active in the NPI registry since April 2024. The organization lists Busayo Okusanya, Owner, as its authorized official.

NPPES Registry Identity

NPI1174379176
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSKYLINE MENTAL HEALTH SERVICES LLC
Location Address10944 QUANTICO LN NMaple Grove, MN 55369-7527
Mailing Address10944 Quantico Ln NMaple Grove, MN 55369-7527
Phone(763) 445-4693
Organization SubpartNo
Authorized OfficialBusayo OkusanyaOwner · (763) 268-9552
Enumeration DateApril 29, 2024
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1174379176 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).
10944 QUANTICO LN N, Maple Grove, MN 55369
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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 Skyline Mental Health Services LLC's NPI number?

The NPI number for Skyline Mental Health Services LLC is 1174379176. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Skyline Mental Health Services LLC located?

Skyline Mental Health Services LLC is located at 10944 Quantico Ln N, Maple Grove, MN 55369. The listed phone number is (763) 445-4693.

What is Skyline Mental Health Services 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 Skyline Mental Health Services LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.