ADVANCED BRAIN AND BODY CLINIC PLLC
NPI 1447816632
Specialist in Golden Valley, MN

Q: What is Advanced Brain And Body Clinic PLLC's NPI number?

The NPI number for Advanced Brain And Body Clinic PLLC is 1447816632. It was assigned to this organization in the NPPES registry on May 14, 2019.

Q: What is Advanced Brain And Body Clinic PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 14, 2019

701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427(605) 348-8000(605) 716-0248 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jun 2, 2023, May 14, 2019 (3 updates tracked since 2019).

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About Advanced Brain And Body Clinic Pllc NPPES

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

ADVANCED BRAIN AND BODY CLINIC PLLC (NPI 1447816632) is a healthcare organization registered as a specialist in Golden Valley, Minnesota and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Minnetonka and lists Stephen Paul Manlove, Owner, as its authorized official.

NPPES Registry Identity

NPI1447816632

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED BRAIN AND BODY CLINIC PLLC

Location Address701 DECATUR AVE N STE 109Golden Valley, MN 55427-4363

Mailing Address636 Saint Anne StRapid City, SD 57701-4694 · (605) 348-8000 · Fax (605) 716-0248

Phone(605) 348-8000

Fax(605) 716-0248

Organization SubpartNo

Authorized OfficialStephen Paul ManloveOwner · (605) 348-8000

Enumeration DateMay 14, 2019

Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1447816632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

701 DECATUR AVE N STE 109, Golden Valley, MN 55427

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Secondary Practice Location 1

Location 113911 Ridgedale Dr Ste 110Minnetonka, MN 55305-1773 · Phone (605) 348-8000 ext. 211 · Fax (605) 716-0248

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

Accepted Insurance

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

Other Providers at the Same Location NPPES 14

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

NICOLE MARIE NELSON

Marriage & Family Therapist