OrganizationActive
Prevail Psychiatric Services
NPI 1780394171 · Psychiatry Physician · Maplewood, MN
Provider details
- NPI number
- 1780394171
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Clark, Psychiatric Nurse Practitioner(651) 724-2905
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 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
1978 Adolphus St
Maplewood, MN 55117-1904
Phone: (651) 724-2905
Street-level locationGet directions
Mailing address
1978 Adolphus St
Maplewood, MN 55117-1904
Registry dates
- Enumerated
- 2022-11-28
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.