ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
NPI 1740393032
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brainerd, MN
NPI Status: Active since August 17, 2006
Contact Information
523 N 3RD ST
4TH FLOOR
BRAINERD, MN
ZIP 56401
Phone: (218) 828-7394
Fax: (218) 828-3130
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 24D0406113
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
This page provides the complete NPI Profile along with additional information for Essentia Health St. Joseph's-lakeland Psychiatry Clinic, a provider established in Brainerd, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1740393032 assigned on August 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 330736 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Essentia Health St. Joseph's-lakeland Psychiatry Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)
- NPI
- 1740393032
- Provider Legal Name
- ST. JOSEPH'S MEDICAL CENTER
- Other Organization Name
- ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 523 N 3RD ST 4TH FLOOR BRAINERD, MN 56401
- Location Phone
- (218) 828-7394
- Location Fax
- (218) 828-3130
- Mailing Address
- 523 N 3RD ST BRAINERD, MN 56401
- Mailing Phone
- (218) 828-7394
- Mailing Fax
- (218) 828-3130
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-17-2006
- Last Update Date
- 02-27-2024
- Code Navigator
Location Map
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 330736
- License State
- MN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - 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.
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 |
|---|---|---|---|
| 736045200 | MEDICAID (05) | MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0406113
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DIANNE KENDALL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Essentia Health St. Joseph's-lakeland Psychiatry Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ESSENTIA HEALTH ST. JOSEPH'S-LAKELAND PSYCHIATRY CLINIC
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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. | |||||||||
| 1 | 7 | 4 | 0 | 3 | 9 | 3 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 6 | 9 | 6 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 6 + 9 + 6 + 0 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1740393032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518942150 | TODD M GREATENS MD Individual | Internal Medicine (Pulmonary Disease) | 523 N 3RD ST BRAINERD, MN 56401 (218) 829-2861 |
| 1992771430 | PETER JOHN HENRY MD Individual | Emergency Medicine | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7494 |
| 1417925066 | ROBERT P BACON MD Individual | Emergency Medicine | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7494 |
| 1033173034 | DR. JOHN R BONDE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 523 N 3RD ST BRAINERD, MN 56401 (218) 829-2455 |
| 1275648453 | MS. REBECCA ANN BONTJES MSW,LICSW Individual | Counselor (Mental Health) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7379 |
| 1841383643 | MS. LYNNE ELLEN JOHNSON MS LP Individual | Psychologist | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7379 |
| 1801977053 | MRS. DENISE ANN CLEVELAND MA, RD, LD Individual | Dietitian, Registered | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7640 |
| 1013083344 | MISS BARBARA KAY PARKS MED, LICSW Individual | Social Worker (Clinical) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7379 |
| 1164599767 | LAURA J. SKOGEN M.S.W. Individual | Social Worker (Clinical) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7379 |
| 1487721502 | ROBERT O'NEILL Individual | Psychologist (Clinical) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7379 |
| 1649330176 | MRS. MARY JO AMBROZ RD Individual | Dietitian, Registered | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7378 |
| 1780735993 | CENTRAL MINNESOTA SLEEP SPECIALISTS, PLC Organization | Internal Medicine (Pulmonary Disease) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7100 |
| 1033259163 | MS. MICHELLE PELKEY RD Individual | Dietitian, Registered | 523 N 3RD ST ST. JOSEPH'S MEDICAL CENTER BRAINERD, MN 56401 (218) 828-7623 |
| 1780844183 | NATURAL FAMILY PLANNING OF THE BRAINERD LAKES AREA INC. Organization | Clinic/Center (Family Planning, Non-Surgical) | 523 N 3RD ST BRAINERD, MN 56401 (218) 829-2861 |
| 1679722441 | JANICE ZAHNER Individual | Counselor (Mental Health) | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7390 |
| 1619943198 | SCOTT A JOING M.D. Individual | Emergency Medicine | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7494 |
| 1659484988 | ST. JOSEPH'S MEDICAL CENTER Organization | Durable Medical Equipment & Medical Supplies | 523 N 3RD ST BRAINERD, MN 56401 (218) 829-2861 |
| 1841307865 | ST. JOSEPH'S MEDICAL CENTER Organization | Psychiatric Unit | 523 N 3RD ST BRAINERD, MN 56401 (218) 828-7437 |
| 1164407706 | JAMES GELBMANN MD Individual | Family Medicine | 523 N 3RD ST MEDICAL STAFF OFFICE BRAINERD, MN 56401 (218) 828-7100 |
| 1417336173 | LEAH LEMPOLA Individual | Nurse Practitioner | 523 N 3RD ST MEDICAL STAFF OFFICE BRAINERD, MN 56401 (218) 828-2880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740393032, enumerated in the NPI registry as an "organization" on August 17, 2006
The provider is located at 523 N 3rd St 4th Floor Brainerd, Mn 56401 and the phone number is (218) 828-7394
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D0406113 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 17, 2006. 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].
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