Wisdom Psychiatric Care and Medication Management LLC
NPI 1255925962 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mounds View, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisdom Psychiatric Care and Medication Management LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Mounds View, MN (NPI 1255925962).
Provider details
- NPI number
- 1255925962
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melodie Kabanuk Dohm, Owner/Provider(320) 232-0647
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-02-23
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Frequently asked questions
- What is Wisdom Psychiatric Care and Medication Management LLC's NPI number?
- Wisdom Psychiatric Care and Medication Management LLC's National Provider Identifier (NPI) is 1255925962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisdom Psychiatric Care and Medication Management LLC?
- Wisdom Psychiatric Care and Medication Management LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wisdom Psychiatric Care and Medication Management LLC located?
- Wisdom Psychiatric Care and Medication Management LLC's practice location on file with NPPES is 2704 Mounds View Blvd, Mounds View, MN 55112.
- What is Wisdom Psychiatric Care and Medication Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Wisdom Psychiatric Care and Medication Management LLC is (320) 232-0647.
- Does Wisdom Psychiatric Care and Medication Management LLC accept Medicare?
- Wisdom Psychiatric Care and Medication Management 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 Wisdom Psychiatric Care and Medication Management LLC?
- The authorized official listed on Wisdom Psychiatric Care and Medication Management LLC's NPPES record is Melodie Kabanuk Dohm, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisdom Psychiatric Care and Medication Management LLC's NPI active?
- Yes — Wisdom Psychiatric Care and Medication Management LLC's NPI (1255925962) is active in the NPPES registry as of the last update on 2022-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.