Maple Psychiatry
NPI 1194593566 · Child & Adolescent Psychiatry Physician · Roseville, MN
Maple Psychiatry is a Child & Adolescent Psychiatry Physician organization in Roseville, MN (NPI 1194593566).
Provider details
- NPI number
- 1194593566
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Burkette Ikebata, Psychiatrist(425) 446-0012
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Frequently asked questions
- What is Maple Psychiatry's NPI number?
- Maple Psychiatry's National Provider Identifier (NPI) is 1194593566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Psychiatry?
- Maple Psychiatry is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Maple Psychiatry located?
- Maple Psychiatry's practice location on file with NPPES is 1873 Shryer Ave W, Roseville, MN 55113-5413.
- What is Maple Psychiatry's phone number?
- The practice phone number listed in the NPPES registry for Maple Psychiatry is (425) 446-0012.
- Who is the authorized official for Maple Psychiatry?
- The authorized official listed on Maple Psychiatry's NPPES record is Nicole Burkette Ikebata, Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Psychiatry's NPI active?
- Yes — Maple Psychiatry's NPI (1194593566) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.