Resonancebridge Psychiatry & Wellness LLC
NPI 1639034770 · Psychiatric/Mental Health Nurse Practitioner · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Resonancebridge Psychiatry & Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Maple Grove, MN (NPI 1639034770).
Provider details
- NPI number
- 1639034770
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Johnthap Obakpolor, Pmhnp(612) 482-2034
Specialties & taxonomies
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
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
Mailing address
Registry dates
- Enumerated
- 2025-12-20
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Resonancebridge Psychiatry & Wellness LLC's NPI number?
- Resonancebridge Psychiatry & Wellness LLC's National Provider Identifier (NPI) is 1639034770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Resonancebridge Psychiatry & Wellness LLC?
- Resonancebridge Psychiatry & Wellness LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Resonancebridge Psychiatry & Wellness LLC located?
- Resonancebridge Psychiatry & Wellness LLC's practice location on file with NPPES is 12682 88th Ave N, Maple Grove, MN 55369-3044.
- What is Resonancebridge Psychiatry & Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Resonancebridge Psychiatry & Wellness LLC is (612) 482-2034.
- Does Resonancebridge Psychiatry & Wellness LLC accept Medicare?
- Resonancebridge Psychiatry & Wellness 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 Resonancebridge Psychiatry & Wellness LLC?
- The authorized official listed on Resonancebridge Psychiatry & Wellness LLC's NPPES record is Johnthap Obakpolor, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Resonancebridge Psychiatry & Wellness LLC's NPI active?
- Yes — Resonancebridge Psychiatry & Wellness LLC's NPI (1639034770) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.