WELLPSYCH MENTAL HEALTH, PLLC
NPI 1184474504
Nurse Practitioner - Psychiatric/Mental Health in Eagan, MN

Active since March 26, 2024
3005 EAGANDALE PL APT 119, EAGAN, MN 55121(612) 552-1748 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellpsych Mental Health, Pllc NPPES

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

WELLPSYCH MENTAL HEALTH, PLLC (NPI 1184474504) is a healthcare organization registered as a psychiatric/mental health in Eagan, Minnesota and active in the NPI registry since March 2024. The organization lists Millicent Boa-amponsem, Director, as its authorized official.

NPPES Registry Identity

NPI1184474504
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLPSYCH MENTAL HEALTH, PLLC
Location Address3005 EAGANDALE PL APT 119Eagan, MN 55121-2120
Mailing Address2136 Ford Pkwy # 9008Saint Paul, MN 55116-2850 · (612) 552-1748
Organization SubpartNo
Authorized OfficialMillicent Boa-amponsemDirector · (612) 552-1748
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1184474504 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
3005 EAGANDALE PL APT 119, Eagan, MN 55121

Other Names 1

Doing Business AsWellpsych Mental Health, Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Wellpsych Mental Health, PLLC's NPI number?

The NPI number for Wellpsych Mental Health, PLLC is 1184474504. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Wellpsych Mental Health, PLLC located?

Wellpsych Mental Health, PLLC is located at 3005 Eagandale Pl Apt 119, Eagan, MN 55121. The listed phone number is (612) 552-1748.

What is Wellpsych Mental Health, PLLC'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 Wellpsych Mental Health, PLLC was last updated on March 26, 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.