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TUBMAN
NPI 1295866911
Clinic/Center - Mental Health (Including Community Mental Health Center) in Minneapolis, MN

Active since March 07, 2007
4432 CHICAGO AVE S, MINNEAPOLIS, MN 55407(612) 870-2444(612) 870-2428 Get Directions Write a Review

NPPES record last updated: November 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tubman NPPES

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

TUBMAN (NPI 1295866911), doing business as Chrysalis, is a healthcare organization registered as a mental health (including community mental health center) in Minneapolis, Minnesota and active in the NPI registry since March 2007. The organization lists Beverly Dusso, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295866911
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTUBMAN
Location Address4432 CHICAGO AVE SMinneapolis, MN 55407-3519
Mailing Address4432 Chicago Ave SMinneapolis, MN 55407-3519 · (612) 870-2444 · Fax (612) 870-2428
Phone(612) 870-2444
Fax(612) 870-2428
Organization SubpartNo
Authorized OfficialBeverly DussoExecutive Director · (612) 767-6690
Enumeration DateMarch 7, 2007
Last NPPES UpdateNovember 12, 2008
✔ NPI 1295866911 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
License✔ Licensed in MN · 800487-2-MCH
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 800488-3-CDT (MN)
4432 CHICAGO AVE S, Minneapolis, MN 55407
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Other Names 1

Former Legal Business NameChrysalis

Other Identifiers 4

Medicare UPINC00969MN
Medicaid575255800MN
Other9026CHMN · Bcbs
Medicaid257080700MN

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 Tubman's NPI number?

The NPI number for Tubman is 1295866911. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider was formerly known as Chrysalis.

Where is Tubman located?

Tubman is located at 4432 Chicago Ave S, Minneapolis, MN 55407. The listed phone number is (612) 870-2444.

What is Tubman'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 Tubman accept?

Health plans from HealthPartners list Tubman 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 Tubman was last updated on November 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.