ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
NPI 1740393032
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brainerd, MN
NPI Status: Active since August 17, 2006
Contact Information
523 N 3RD ST
4TH FLOOR
BRAINERD, MN
ZIP 56401
Phone: (218) 828-7394
Fax: (218) 828-3130
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 24D0406113
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
This page provides the complete NPI Profile along with additional information for Essentia Health St. Joseph's-lakeland Psychiatry Clinic, a provider established in Brainerd, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1740393032 assigned on August 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 330736 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Essentia Health St. Joseph's-lakeland Psychiatry Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)
- NPI
- 1740393032
- Provider Legal Name
- ST. JOSEPH'S MEDICAL CENTER
- Other Organization Name
- ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 523 N 3RD ST 4TH FLOOR BRAINERD, MN 56401
- Location Phone
- (218) 828-7394
- Location Fax
- (218) 828-3130
- Mailing Address
- 523 N 3RD ST BRAINERD, MN 56401
- Mailing Phone
- (218) 828-7394
- Mailing Fax
- (218) 828-3130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-17-2006
- Last Update Date
- 02-27-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 330736
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 736045200 | MEDICAID (05) | MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0406113
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. DIANNE M. KENDALL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Essentia Health St. Joseph's-lakeland Psychiatry Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740393032, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRAINERD, MN 56401
BRAINERD, MN 56401
BRAINERD, MN 56401
BRAINERD, MN 56401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740393032, enumerated as an "organization" on August 17, 2006.
The provider is located at 523 N 3RD ST 4TH FLOOR BRAINERD, MN 56401 and the phone number is (218) 828-7394.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
