Healthcare Provider Details

I. General information

NPI: 1073438149
Provider Name (Legal Business Name): ADALINE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3006 ALLEGRO PARK LN SW
ROCHESTER MN
55902-4159
US

IV. Provider business mailing address

3006 ALLEGRO PARK LN SW
ROCHESTER MN
55902-4159
US

V. Phone/Fax

Practice location:
  • Phone: 507-421-9060
  • Fax:
Mailing address:
  • Phone: 507-421-9060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: JANN SARKARIA
Title or Position: OWNER
Credential: MD
Phone: 507-421-9060