Yourtime Psychiatry and Medical Cannabis LLC
NPI 1164112090 · Clinic/Center · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Yourtime Psychiatry and Medical Cannabis LLC is a Clinic/Center organization in Maple Grove, MN (NPI 1164112090).
Provider details
- NPI number
- 1164112090
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Harrison, Owner(612) 458-3374
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2023-05-12
- Last updated
- 2023-05-12
- Certified
- 2023-05-12
Frequently asked questions
- What is Yourtime Psychiatry and Medical Cannabis LLC's NPI number?
- Yourtime Psychiatry and Medical Cannabis LLC's National Provider Identifier (NPI) is 1164112090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Yourtime Psychiatry and Medical Cannabis LLC?
- Yourtime Psychiatry and Medical Cannabis LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Yourtime Psychiatry and Medical Cannabis LLC located?
- Yourtime Psychiatry and Medical Cannabis LLC's practice location on file with NPPES is 6341 Ithaca Ln N, Maple Grove, MN 55311-4147.
- What is Yourtime Psychiatry and Medical Cannabis LLC's phone number?
- The practice phone number listed in the NPPES registry for Yourtime Psychiatry and Medical Cannabis LLC is (612) 458-3374.
- Does Yourtime Psychiatry and Medical Cannabis LLC accept Medicare?
- Yourtime Psychiatry and Medical Cannabis LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Yourtime Psychiatry and Medical Cannabis LLC?
- The authorized official listed on Yourtime Psychiatry and Medical Cannabis LLC's NPPES record is John Harrison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Yourtime Psychiatry and Medical Cannabis LLC's NPI active?
- Yes — Yourtime Psychiatry and Medical Cannabis LLC's NPI (1164112090) is active in the NPPES registry as of the last update on 2023-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.