OrganizationActive
Divergent Path Therapy PLLC
NPI 1083598205 · Clinic/Center · Minneapolis, MN
Divergent Path Therapy PLLC is a Clinic/Center organization in Minneapolis, MN (NPI 1083598205).
Provider details
- NPI number
- 1083598205
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shane Prijatel-Spare, Owner(612) 217-4890
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% 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
4404 Nicollet Ave Apt 1
Minneapolis, MN 55419-2642
Phone: (612) 217-4890
Street-level locationGet directions
Mailing address
4404 Nicollet Ave Apt 1
Minneapolis, MN 55419-2642
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Divergent Path Therapy PLLC's NPI number?
- Divergent Path Therapy PLLC's National Provider Identifier (NPI) is 1083598205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divergent Path Therapy PLLC?
- Divergent Path Therapy PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divergent Path Therapy PLLC located?
- Divergent Path Therapy PLLC's practice location on file with NPPES is 4404 Nicollet Ave Apt 1, Minneapolis, MN 55419-2642.
- What is Divergent Path Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divergent Path Therapy PLLC is (612) 217-4890.
- Who is the authorized official for Divergent Path Therapy PLLC?
- The authorized official listed on Divergent Path Therapy PLLC's NPPES record is Shane Prijatel-Spare, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divergent Path Therapy PLLC's NPI active?
- Yes — Divergent Path Therapy PLLC's NPI (1083598205) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.