Northeast Youth & Family Services
NPI 1639275852 · Mental Health Clinic/Center (Including Community Mental Health Center) · Shoreview, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Youth & Family Services is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Shoreview, MN (NPI 1639275852).
Provider details
- NPI number
- 1639275852
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Lewis-Dmello, Licsw(651) 379-3404
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
19 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
- 2006-09-15
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Northeast Youth & Family Services's NPI number?
- Northeast Youth & Family Services's National Provider Identifier (NPI) is 1639275852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Youth & Family Services?
- Northeast Youth & Family Services is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Northeast Youth & Family Services located?
- Northeast Youth & Family Services's practice location on file with NPPES is 3490 Lexington Ave N, Shoreview, MN 55126-8074.
- What is Northeast Youth & Family Services's phone number?
- The practice phone number listed in the NPPES registry for Northeast Youth & Family Services is (651) 486-3808.
- Does Northeast Youth & Family Services accept Medicare?
- Northeast Youth & Family Services 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 Northeast Youth & Family Services?
- The authorized official listed on Northeast Youth & Family Services's NPPES record is Angela Lewis-Dmello, Licsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Youth & Family Services's NPI active?
- Yes — Northeast Youth & Family Services's NPI (1639275852) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.