Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allina Health System

Organization Behavioral Neurology & Neuropsychiatry Physician · NPI 1790286193

Allina Health System is a Behavioral Neurology & Neuropsychiatry Physician in Coon Rapids, Minnesota. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone: (612) 262-1166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavioral Neurology & Neuropsychiatry Physician (primary) Taxonomy 2084B0040X

Record details

NPI number1790286193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominica Tallarico — Coo · (612) 222-2222
Other names Telepsychiatry Services
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing addressPo Box 43, Mail Route 10585, Minneapolis, MN 55440-0043