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

Good State of Mind and Medical Cannabis Psychiatric Clinic

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1790621282

Good State of Mind and Medical Cannabis Psychiatric Clinic is a Psychiatric/Mental Health Nurse Practitioner in Rogers, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

19427 136th Ave N
Rogers, MN 55374-4834
Phone: (763) 516-4476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1790621282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herbert Matanga — Owner- Pmhnp-Bc · (763) 516-4476
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address19427 136th Ave N, Rogers, MN 55374-4834

Other providers in Rogers