MOMENTA MENTAL HEALTH
NPI 1215692785
Clinic/Center - Adolescent and Children Mental Health in White Bear Lake, MN

NPI Status: Active since November 01, 2021

Contact Information

2179 4TH ST STE 2F
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (701) 426-8833

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • Accepts Insurance

About MOMENTA MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Momenta Mental Health, a provider established in White Bear Lake, Minnesota operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1215692785 assigned on November 2021. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Brianne M Marion Psyd (Owner)

NPI
1215692785
Provider Name
MOMENTA MENTAL HEALTH
Entity Type
Organization
Location Address
2179 4TH ST STE 2F WHITE BEAR LAKE, MN 55110
Location Phone
(701) 426-8833
Mailing Address
1060 HILLVALE AVE N OAKDALE, MN 55128
Mailing Phone
(651) 381-6611
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2021
Last Update Date
01-13-2022
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRIANNE M MARION PSYD

Authorized Official Title
OWNER
Authorized Official Phone
(651) 381-6611

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
1053785691MEDICAID (05)MN 

Reviews for MOMENTA MENTAL HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215692785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251294716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 9 + 4 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1215692785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578179727 NATASHA ANN KELLER LMFT
Individual
Marriage & Family Therapist2179 4TH ST STE 2F
WHITE BEAR LAKE, MN 55110
(651) 360-1995
1922681667 SYDNEY BANDEMER MA, LMFT
Individual
Marriage & Family Therapist2179 4TH ST STE 2F
WHITE BEAR LAKE, MN 55110
(218) 929-0732
1578262333LAKE AND VALLEY FAMILY THERAPY
Organization
Marriage & Family Therapist2179 4TH ST STE 2F
WHITE BEAR LAKE, MN 55110
(651) 360-1995
1992561690 TIMOTHY LINDWALL LICSW
Individual
Social Worker (Clinical)2179 4TH ST STE 2F
WHITE BEAR LAKE, MN 55110
(651) 494-8393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215692785, enumerated in the NPI registry as an "organization" on November 01, 2021

The provider is located at 2179 4th St Ste 2f White Bear Lake, Mn 55110 and the phone number is (701) 426-8833

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.