| Vantage Mental Health | |
|
5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 | |
| (651) 217-1480 | |
| Not Available |
| Full Name | Vantage Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5995 Oren Ave N Ste 203, Oak Park Heights, Minnesota |
| Authorized Official Name and Position | Justin Gerstner (BOARD CHAIR) |
| Authorized Official Contact | 6512171480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Mental Health 5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 Ph: (651) 217-1480 | Vantage Mental Health 5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 Ph: (651) 217-1480 |
| NPI Number | 1538990288 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 4587104815 |
|---|---|
| Medicare Enrollment ID | O20240912002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538990288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Justin A Gerstner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780962670 PECOS PAC ID: 3173755493 Enrollment ID: I20201102000329 |
Collaborative Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5995 Oren Ave N Ste 203, Oak Park Heights, MN 55082 Phone: 651-504-5103 | |