GOOD STATE OF MIND AND MEDICAL CANNABIS PSYCHIATRIC CLINIC
NPI 1790621282
Nurse Practitioner - Psychiatric/Mental Health in Rogers, MN

Q: What is Good State Of Mind And Medical Cannabis Psychiatric Clinic's specialty?

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

Active since April 27, 2026

19427 136TH AVE N, ROGERS, MN 55374(763) 516-4476 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Good State Of Mind And Medical Cannabis Psychiatric Clinic NPPES

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

GOOD STATE OF MIND AND MEDICAL CANNABIS PSYCHIATRIC CLINIC (NPI 1790621282) is a healthcare organization registered as a psychiatric/mental health in Rogers, Minnesota and active in the NPI registry since April 2026. The organization lists Herbert Matanga, Owner- Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1790621282

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameGOOD STATE OF MIND AND MEDICAL CANNABIS PSYCHIATRIC CLINIC

Location Address19427 136TH AVE NRogers, MN 55374-4834

Mailing Address19427 136th Ave NRogers, MN 55374-4834 · (763) 516-4476

Phone(763) 516-4476

Organization SubpartNo

Authorized OfficialHerbert MatangaOwner- Pmhnp-bc · (763) 516-4476

Enumeration DateApril 27, 2026

NPPES CertifiedApril 27, 2026

✔ NPI 1790621282 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

19427 136TH AVE N, Rogers, MN 55374

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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

Other Providers at the Same Location NPPES

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

HERBERT MATANGA CNP

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)

19427 136TH AVE N
ROGERS, MN 55374

Hennepin County (763) 516-4476

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 Good State Of Mind And Medical Cannabis Psychiatric Clinic's NPI number?

The NPI number for Good State Of Mind And Medical Cannabis Psychiatric Clinic is 1790621282. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Good State Of Mind And Medical Cannabis Psychiatric Clinic located?

Good State Of Mind And Medical Cannabis Psychiatric Clinic is located at 19427 136th Ave N, Rogers, MN 55374. The listed phone number is (763) 516-4476.

What is Good State Of Mind And Medical Cannabis Psychiatric Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Good State Of Mind And Medical Cannabis Psychiatric Clinic was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.