VAYDA MENTAL HEALTH COLLABORATIVE PLLC
NPI 1770194417
Psychologist - Clinical in Coon Rapids, MN

Q: What is Vayda Mental Health Collaborative PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 16, 2020

299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433(651) 240-2206(612) 446-5766 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2020, Aug 16, 2020 (2 updates tracked since 2020).

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About Vayda Mental Health Collaborative Pllc NPPES

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

VAYDA MENTAL HEALTH COLLABORATIVE PLLC (NPI 1770194417) is a healthcare organization registered as a clinical in Coon Rapids, Minnesota and active in the NPI registry since August 2020. The organization lists Alise Marie Novak, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1770194417

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameVAYDA MENTAL HEALTH COLLABORATIVE PLLC

Location Address299 COON RAPIDS BLVD NW STE 100Coon Rapids, MN 55433-5869

Mailing Address13233 Johnson St NeBlaine, MN 55434-4171 · (612) 382-9781 · Fax (612) 446-5766

Phone(651) 240-2206

Fax(612) 446-5766

Organization SubpartNo

Authorized OfficialAlise Marie NovakCo-founder · (651) 240-2206

Enumeration DateAugust 16, 2020

Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1770194417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · FamilyTaxonomy 103TF0000X

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X

299 COON RAPIDS BLVD NW STE 100, Coon Rapids, MN 55433

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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vayda Mental Health Collaborative Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vayda Mental Health Collaborative PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Katelyn Iverson, LPCC

Mental Health Counselor

NPI 1497460976

299 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433

(651) 240-2206

✔ PECOS✔ Accepts MedicareSame address

Devon Whitehead, PH.D.

Clinical Psychologist

NPI 1003037458

299 COON RAPIDS BLVD NE SUITE 100
Coon Rapids, MN 55344

(651) 240-2206

✔ PECOSSame address

Mackenzie Landbloom, LICSW

Clinical Social Worker

NPI 1538789474

701 PARK AVE
Minneapolis, MN 55415

(612) 873-3000

✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vayda Mental Health Collaborative PLLC's NPI number?

The NPI number for Vayda Mental Health Collaborative PLLC is 1770194417. It was assigned to this organization in the NPPES registry on August 16, 2020.

Where is Vayda Mental Health Collaborative PLLC located?

Vayda Mental Health Collaborative PLLC is located at 299 Coon Rapids Blvd NW Ste 100, Coon Rapids, MN 55433. The listed phone number is (651) 240-2206.

What is Vayda Mental Health Collaborative PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Vayda Mental Health Collaborative PLLC enrolled in Medicare?

Yes. Vayda Mental Health Collaborative PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vayda Mental Health Collaborative PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vayda Mental Health Collaborative PLLC, in Clinical Psychologist, Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vayda Mental Health Collaborative PLLC accept?

Health plans from HealthPartners list Vayda Mental Health Collaborative PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vayda Mental Health Collaborative PLLC was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.