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Mystic Makepeace
NPI 1003486564 · Behavior Technician · Minneapolis, MN
Mystic Makepeace is a Behavior Technician provider in Minneapolis, MN (NPI 1003486564).
Provider details
- NPI number
- 1003486564
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3333 University Ave Se
Minneapolis, MN 55414-3325
Phone: (612) 767-7222
Street-level locationGet directions
Mailing address
1564 Randolph Ave Apt 202
Saint Paul, MN 55105-2541
Registry dates
- Enumerated
- 2021-06-28
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Frequently asked questions
- What is Mystic Makepeace's NPI number?
- Mystic Makepeace's National Provider Identifier (NPI) is 1003486564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mystic Makepeace's specialty?
- Mystic Makepeace is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mystic Makepeace located?
- Mystic Makepeace's practice location on file with NPPES is 3333 University Ave Se, Minneapolis, MN 55414-3325.
- What is Mystic Makepeace's phone number?
- The practice phone number listed in the NPPES registry for Mystic Makepeace is (612) 767-7222.
- Is Mystic Makepeace's NPI active?
- Yes — Mystic Makepeace's NPI (1003486564) is active in the NPPES registry as of the last update on 2021-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.