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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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 Iseyemi, 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 Address9898 Bissonnet St Ste 200Houston, TX 77036-8025 · (713) 227-7275

Phone(651) 877-2757

Organization SubpartNo

Authorized OfficialOluwatoyin IseyemiOwner · (651) 877-2757

Enumeration DateSeptember 14, 2021

NPPES CertifiedSeptember 14, 2021

✔ 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.

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