OrganizationActive
Northern Waters Clinic
NPI 1316445455 · Mental Health Clinic/Center (Including Community Mental Health Center) · Hermantown, MN
Provider details
- NPI number
- 1316445455
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Maki, Co-Owner(218) 727-3888
- License
- 2318 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Nursing Service Providers
Nursing Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4899 Miller Trunk Hwy Ste 208
Hermantown, MN 55811-1582
Phone: (218) 391-9860
Fax: (218) 391-9860
Street-level locationGet directions
Mailing address
1702 Miller Trunk Hwy Ste 214
Duluth, MN 55811-4448
Other names (DBA / former)
- Other name
- Northern Waters Clinic
Additional practice locations (1)
- 1702 Miller Trunk Hwy Ste 214Duluth, MN 55811-4443Phone: (218) 391-9860Fax: (218) 260-4772
Registry dates
- Enumerated
- 2018-01-23
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.