WISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT LLC
NPI 1255925962
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mounds View, MN

Q: What is Wisdom Psychiatric Care And Medication Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since February 23, 2021

2704 MOUNDS VIEW BLVD, STE 12, MOUNDS VIEW, MN 55112(320) 232-0647(567) 205-3614 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Apr 5, 2021, Mar 25, 2021 and 1 more (4 updates tracked since 2021).

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About Wisdom Psychiatric Care And Medication Management Llc NPPES

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

WISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT LLC (NPI 1255925962) is a healthcare organization registered as a mental health (including community mental health center) in Mounds View, Minnesota and active in the NPI registry since February 2021. The organization lists Melodie Anne Kabanuk Dohm, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1255925962

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT LLC

Location Address2704 MOUNDS VIEW BLVD, STE 12Mounds View, MN 55112

Mailing Address8628 Hastings St NeBlaine, MN 55449-4252 · (320) 232-0647 · Fax (567) 205-3614

Phone(320) 232-0647

Fax(567) 205-3614

Organization SubpartNo

Authorized OfficialMelodie Anne Kabanuk DohmOwner/provider · (320) 232-0647

Enumeration DateFebruary 23, 2021

Last NPPES UpdateFebruary 17, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2022

✔ NPI 1255925962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

2704 MOUNDS VIEW BLVD, Mounds View, MN 55112

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Other Identifiers 1

Medicaid359498100MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 Wisdom Psychiatric Care And Medication Management LLC's NPI number?

The NPI number for Wisdom Psychiatric Care And Medication Management LLC is 1255925962. It was assigned to this organization in the NPPES registry on February 23, 2021.

Where is Wisdom Psychiatric Care And Medication Management LLC located?

Wisdom Psychiatric Care And Medication Management LLC is located at 2704 Mounds View Blvd Ste 12, Mounds View, MN 55112. The listed phone number is (320) 232-0647.

What is Wisdom Psychiatric Care And Medication Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Wisdom Psychiatric Care And Medication Management LLC accept?

Health plans from HealthPartners list Wisdom Psychiatric Care And Medication Management 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 Wisdom Psychiatric Care And Medication Management LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.