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

Prevail Psychiatric Services

Organization Psychiatry Physician · NPI 1780394171

Prevail Psychiatric Services is a Psychiatry Physician in Maplewood, Minnesota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1978 Adolphus St
Maplewood, MN 55117-1904
Phone: (651) 724-2905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1780394171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Clark — Psychiatric Nurse Practitioner · (651) 724-2905
NPI enumeratedNovember 28, 2022
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address1978 Adolphus St, Maplewood, MN 55117-1904

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