PORTAGES HEALTH LLC
NPI 1942945761
Psychologist - Prescribing (Medical) in Minneapolis, MN

Q: What is Portages Health LLC's NPI number?

The NPI number for Portages Health LLC is 1942945761. It was assigned to this organization in the NPPES registry on May 5, 2022.

Q: What is Portages Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since May 05, 2022

310 4TH AVE S STE 5010, MINNEAPOLIS, MN 55415(320) 492-2232 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Portages Health Llc NPPES

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

PORTAGES HEALTH LLC (NPI 1942945761) is a healthcare organization registered as a prescribing (medical) in Minneapolis, Minnesota and active in the NPI registry since May 2022. The organization lists Leonard Read Sulik, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1942945761

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NamePORTAGES HEALTH LLC

Location Address310 4TH AVE S STE 5010Minneapolis, MN 55415-1053

Mailing Address310 4th Ave S Ste 5010Minneapolis, MN 55415-1053

Phone(320) 492-2232

Organization SubpartNo

Authorized OfficialLeonard Read SulikSole Mbr · (320) 492-2232

Enumeration DateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1942945761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

310 4TH AVE S STE 5010, Minneapolis, MN 55415

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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)

Portages Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Portages Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Madlin Christiansen, LICSW

Clinical Social Worker

NPI 1386325496

310 4TH AVE S STE 5010
Minneapolis, MN 55415

(612) 284-3220

✔ PECOS✔ Accepts MedicareSame address

Adrienne Lanz, LICSW

Clinical Social Worker

NPI 1760353031

310 4TH AVE S STE 5010
Minneapolis, MN 55415

(612) 284-3220

✔ PECOSSame address

Michael Bloomquist, PHD, LP

Clinical Psychologist

NPI 1265478473

UNIVERSITY OF MINNESOTA PHYSICIANS 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST
Minneapolis, MN 55454

(612) 273-8700

✔ PECOS✔ Accepts Medicare1.8 mi

Erica Hertzog, PHN

Nurse Practitioner

NPI 1942704895

1120 WAYZATA BLVD E STE 210
Wayzata, MN 55391

(320) 864-1236

✔ PECOS14 mi

Claire Kaehr, M.A.

Marriage and Family Therapist

NPI 1235533738

1500 MCANDREWS RD W SUITE 231
Burnsville, MN 55337

(952) 212-7101

✔ PECOS16 mi

Michael Meyer

Clinical Social Worker

NPI 1669636858

1401 E 1ST ST
Duluth, MN 55805

(218) 730-2351

✔ PECOS138 mi

Rhea Lou Del Rosario, PMHNP

Nurse Practitioner

NPI 1336789916

1255 S POKEGAMA AVE UNIT 11
Grand Rapids, MN 55744

(218) 999-0018

✔ PECOS✔ Accepts Medicare155 mi

Leonard Sulik, MD

Psychiatry

NPI 1083664130

777 BANNOCK ST
Denver, CO 80204

(303) 602-2715

✔ PECOS700 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 Portages Health LLC's NPI number?

The NPI number for Portages Health LLC is 1942945761. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Portages Health LLC located?

Portages Health LLC is located at 310 4th Ave S Ste 5010, Minneapolis, MN 55415. The listed phone number is (320) 492-2232.

What is Portages Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Portages Health LLC enrolled in Medicare?

Yes. Portages Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portages Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Portages Health LLC. 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. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (2) and Clinical Psychologist (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portages Health LLC accept?

Health plans from HealthPartners list Portages Health LLC 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 Portages Health LLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.