Healthcare Provider Details

I. General information

NPI: 1144119108
Provider Name (Legal Business Name): GREATEST PSYCHIATRY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 COLFAX AVE N
BROOKLYN CENTER MN
55430-2760
US

IV. Provider business mailing address

5700 COLFAX AVE N
BROOKLYN CENTER MN
55430-2760
US

V. Phone/Fax

Practice location:
  • Phone: 763-957-2560
  • Fax: 612-677-3048
Mailing address:
  • Phone: 763-957-2560
  • Fax: 612-677-3048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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