Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Boynton Health Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
KARLA SCHARDIN (SENIOR DIRECTOR OF OPERATIONS)
(612) 625-8400
Entity
Organization
Contact information
Practice address
410 CHURCH STREET SE, MINNEAPOLIS, MN 55455-0346
(612) 625-8400
(612) 776-3211
Mailing address
410 CHURCH STREET SE, MINNEAPOLIS, MN 55455-0346
(612) 625-8400
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322012500
—
MN
Enumeration date
04/27/2007
Last updated
07/24/2025
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