OrganizationActive
Diy Intervention LLC
NPI 1659067643 · Prevention Professional · Saint Paul, MN
Provider details
- NPI number
- 1659067643
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Joel Cycenas, Director of Business Development(763) 516-8068
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3634 White Bear Ave N
Saint Paul, MN 55110-4471
Phone: (763) 516-8068
Street-level locationGet directions
Mailing address
3634 White Bear Ave N
Saint Paul, MN 55110-4471
Registry dates
- Enumerated
- 2023-04-13
- Last updated
- 2023-04-13
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.