Maple Psychiatry

LBN: Maple Psychiatry
Maple Psychiatry is an health care organization with primary practice located at 1873 Shryer Ave W , Roseville MN 55113-5413. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is the primary health care specialty. Maple Psychiatry can be contacted via phone (425) 446-0012, or through Burkette Ikebata, Nicole via phone (425) 446-0012.

Contact Information

Primary practice address
1873 Shryer Ave W Roseville MN 55113-5413
Phone: (425) 446-0012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burkette Ikebata, Nicole MD, MPH
Phone: (425) 446-0012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1194593566
LBN Legal business name Maple Psychiatry
DBA Doing business as
Authorized official Burkette Ikebata, Nicole MD, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2023
Last updated Dec 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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