NORTH COUNTRY PSYCHIATRY
NPI 1760078760
Nurse Practitioner - Psychiatric/Mental Health in Park Rapids, MN

Active since December 15, 2020CLIA 24D2243099 · Waiver
58714 FRAZIER ST, PARK RAPIDS, MN 56470(507) 301-6657 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2024, Feb 5, 2021, Dec 15, 2020 (3 updates tracked since 2020).

About North Country Psychiatry NPPES

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

NORTH COUNTRY PSYCHIATRY (NPI 1760078760) is a healthcare organization registered as a psychiatric/mental health in Park Rapids, Minnesota and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Robert Daun, Sole-member, as its authorized official.

NPPES Registry Identity

NPI1760078760
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNORTH COUNTRY PSYCHIATRY
Location Address58714 FRAZIER STPark Rapids, MN 56470-3053
Mailing Address58714 Frazier StPark Rapids, MN 56470-3053 · (507) 301-2627
Organization SubpartNo
Authorized OfficialRobert DaunSole-member · (507) 301-2627
Enumeration DateDecember 15, 2020
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1760078760 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
58714 FRAZIER ST, Park Rapids, MN 56470

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 24D2243099

North Country Psychiatry · Northfield, MN
Active · expires Nov 15, 2027
CLIA Number24D2243099
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorRobert J. Daun
Laboratory Phone(507) 301-2627
Laboratory LocationNorth Country Psychiatry1300 Bollenbacher Dr, Suite B, Northfield, MN 55057
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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
58714 FRAZIER ST
PARK RAPIDS, MN 56470
Clinic/Center (Multi-Specialty)
58714 FRAZIER ST
PARK RAPIDS, MN 56470

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 North Country Psychiatry's NPI number?

The NPI number for North Country Psychiatry is 1760078760. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is North Country Psychiatry located?

North Country Psychiatry is located at 58714 Frazier St, Park Rapids, MN 56470. The listed phone number is (507) 301-6657.

What is North Country Psychiatry's specialty?

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

Does North Country Psychiatry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2243099) is associated with this NPI, valid through November 15, 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 North Country Psychiatry was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.