MEDICARE: GREATEST PSYCHIATRY AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1144119108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATEST PSYCHIATRY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	5700 COLFAX AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2760
Country	:	US
Telephone Number	:	763-957-2560
Fax Number	:	612-677-3048

Provider Business Practice Location Address
First Line	:	5700 COLFAX AVE N
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2760
Country	:	US
Telephone Number	:	763-957-2560
Fax Number	:	612-677-3048

Authorized Official
Title or Position	:	CNP, PMHNP-BC
Name	:	DR. ELIJAH YARPAH ZARDYU YARPAH
Credential	:	PHD
Telephone Number	:	763-269-3872

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/09/2025

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