Northwind Holistic Psychiatry PLLC
Physician Assistant in Park Rapids, MN. Organization (NPI-2).
Details
- NPI
- 1609690197
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwind Holistic Psychiatry PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2024
- Certification date
- Jun 27, 2026
- Last updated
- Jun 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
207 2nd St WPark Rapids, MN 56470-1506
Phone 320-500-2040 · Fax 320-244-7958
Mailing address
1880 Office Club Pt Ste 237Colorado Springs, CO 80920-5017
Phone 320-500-2040 · Fax 320-244-7958
Other practice locations
Colorado Springs, CO 80920-5017
Phone 320-500-2040 · Fax 320-244-7958
Colorado Springs, CO 80920-5019
Phone 320-500-2040 · Fax 320-244-7958
Authorized official
Tiffany Pittman
Owner
3205002040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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