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

Octave Behavioral Michigan PC

Organization Psychologist · NPI 1891504973

Octave Behavioral Michigan PC is a Psychologist in Roseville, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2345 Rice St Ste 230
Roseville, MN 55113-3769
Phone: (415) 360-3833
Fax: (628) 234-3048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1891504973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kym Everett — Vp Revenue Operations · (650) 504-2289
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing addressPo Box 18481, Palatine, IL 60055-8481

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