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MAPLE PSYCHIATRY
NPI 1194593566
Psychiatry & Neurology - Child & Adolescent Psychiatry in Roseville, MN

Active since December 15, 2023
1873 SHRYER AVE W, ROSEVILLE, MN 55113(425) 446-0012 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Psychiatry NPPES

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

MAPLE PSYCHIATRY (NPI 1194593566) is a healthcare organization registered as a child & adolescent psychiatry in Roseville, Minnesota and active in the NPI registry since December 2023. The organization lists Nicole Burkette Ikebata, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1194593566
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMAPLE PSYCHIATRY
Location Address1873 SHRYER AVE WRoseville, MN 55113-5413
Mailing Address202 N Cedar Ave Ste 1Owatonna, MN 55060-2306 · (425) 446-0012
Phone(425) 446-0012
Organization SubpartNo
Authorized OfficialNicole Burkette IkebataPsychiatrist · (425) 446-0012
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1194593566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1873 SHRYER AVE W, Roseville, MN 55113
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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 Maple Psychiatry's NPI number?

The NPI number for Maple Psychiatry is 1194593566. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Maple Psychiatry located?

Maple Psychiatry is located at 1873 Shryer Ave W, Roseville, MN 55113. The listed phone number is (425) 446-0012.

What is Maple Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Maple Psychiatry was last updated on December 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.