NPI Code Details Logo

NPI 1932077799

NPI 1932077799 : PSYCH CONNECT CARE LLC : ROSEMOUNT, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1932077799
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PSYCH CONNECT CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/24/2025
-----------------------------------------------------
    Last Update Date     |    12/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13543 CARLINGFORD WAY 
-----------------------------------------------------
    City                 |    ROSEMOUNT
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55068-6306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-468-8756
-----------------------------------------------------
    Fax                  |    651-468-8756
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13543 CARLINGFORD WAY 
-----------------------------------------------------
    City                 |    ROSEMOUNT
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55068-6306
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    651-468-8756
-----------------------------------------------------
    Fax                  |    651-468-8756
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/CLINICAL DIRECTOR
-----------------------------------------------------
    Name                 |    DR. BABATUNDE SAFIRIYU ADAMS 
-----------------------------------------------------
    Credential           |    DNP, APRN, CNP
-----------------------------------------------------
    Telephone            |    651-468-8756
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.