MEDICARE: NORTHWEST OPEN ARM MENTAL HEALTH

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	:	1891638805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST OPEN ARM MENTAL HEALTH

Provider Business Mailing Address
First Line	:	941 HILLWIND RD NE STE 205
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	941 HILLWIND RD NE STE 205
Second Line	:
City	:	FRIDLEY
State	:	MN
Zip	:	55432-5962
Country	:	US
Telephone Number	:	763-703-6686
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND AUTHORIZED OFFICIAL
Name	:	PATRICK BIRISI
Credential	:
Telephone Number	:	763-703-6686

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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