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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SPARKS PSYCHIATRY PLLC
NPI 1376213280
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since September 14, 2021CLIA 45D2212575 · Waiver
445 MINNESOTA ST STE 1500, SAINT PAUL, MN 55101(651) 877-2757 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Sep 14, 2021 (2 updates tracked since 2021).

About Sparks Psychiatry Pllc NPPES

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

SPARKS PSYCHIATRY PLLC (NPI 1376213280) is a healthcare organization registered as a psychiatric/mental health in Saint Paul, Minnesota and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Oluwatoyin Oladejo, Owner, as its authorized official.

NPPES Registry Identity

NPI1376213280
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSPARKS PSYCHIATRY PLLC
Location Address445 MINNESOTA ST STE 1500Saint Paul, MN 55101-2269
Mailing Address3 Sugar Creek Center Blvd Ste 100Sugar Land, TX 77478-2211 · (713) 227-7275
Phone(651) 877-2757
Organization SubpartNo
Authorized OfficialOluwatoyin OladejoOwner · (713) 227-7275
Enumeration DateSeptember 14, 2021
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1376213280 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
445 MINNESOTA ST STE 1500, Saint Paul, MN 55101
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2212575

Sparks Psychiatry, PLLC · Houston, TX
Active · expires Feb 3, 2027
CLIA Number45D2212575
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorIseyemi Oluwatoyin
Laboratory Phone(713) 227-7275
Laboratory LocationSparks Psychiatry, PLLC9898 Bissonnet Suite 200, Houston, TX 77036
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURORA COUNSELING. LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (612) 222-1644
SAFE HEAVEN HOME CARE SERVICES LLC
Home Health
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (763) 332-9194
OVITSKY VISION CARE OF MINNESOTA PC
Optometrist
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (773) 588-3090
AMAAL MAYLE NP
Nurse Practitioner (Psychiatric/Mental Health)
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (612) 481-7890
MELISSA BERGLUND MSW, LICSW
Social Worker (Clinical)
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (507) 323-1635
KENZIE REILAND
Social Worker (Clinical)
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (507) 272-1165
ICARE THERAPY MN LLC
Behavior Analyst
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (866) 588-8829
MISS ROSANNA KARMOEDDIEN LADC, LPCC
Counselor (Professional)
445 MINNESOTA ST STE 1500
SAINT PAUL, MN 55101
Ramsey County (952) 228-7087

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 Sparks Psychiatry PLLC's NPI number?

The NPI number for Sparks Psychiatry PLLC is 1376213280. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Sparks Psychiatry PLLC located?

Sparks Psychiatry PLLC is located at 445 Minnesota St Ste 1500, Saint Paul, MN 55101. The listed phone number is (651) 877-2757.

What is Sparks Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Sparks Psychiatry PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2212575) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sparks Psychiatry PLLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.