Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prevail Psychiatric Services

Organization Psychiatry Physician · NPI 1780394171

Prevail Psychiatric Services provides Psychiatry Physician services 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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