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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1386456978
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	:
Fax Number	:

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	:

Authorized Official
Title or Position	:	OWNER AND PROVIDER
Name	:	ELIJAH YARPAH
Credential	:	PMHNP
Telephone Number	:	763-957-2560

Provider Enumeration Date	:	01/22/2025
Last Update Date	:	01/22/2025

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