| Vantage Mental Health | |
|
5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 | |
| (651) 217-1480 | |
| (833) 972-5926 |
| Full Name | Vantage Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5995 Oren Ave N Ste 203, Oak Park Heights, Minnesota |
| Authorized Official Name and Position | Justin Gerstner (BOARD CHAIR) |
| Authorized Official Contact | 6512171480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Mental Health 5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 Ph: (651) 217-1480 | Vantage Mental Health 5995 Oren Ave N Ste 203 Oak Park Heights MN 55082-6379 Ph: (651) 217-1480 |
| NPI Number | 1538990288 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 07/16/2025 |
| Certification Date | 07/16/2025 |
| Medicare PECOS PAC ID | 4587104815 |
|---|---|
| Medicare Enrollment ID | O20240912002740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538990288 | NPI | - | NPPES |
| Provider Name | Kathryn M Conery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144600503 PECOS PAC ID: 7517224074 Enrollment ID: I20171208001088 |
| Provider Name | Emily Jean Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912481607 PECOS PAC ID: 9638423841 Enrollment ID: I20181106002515 |
| Provider Name | Justin A Gerstner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780962670 PECOS PAC ID: 3173755493 Enrollment ID: I20201102000329 |
| Provider Name | Claire Garber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205270238 PECOS PAC ID: 9335455955 Enrollment ID: I20220110001788 |
| Provider Name | Hedit Florido-bergad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295365591 PECOS PAC ID: 8123403078 Enrollment ID: I20220914000627 |
| Provider Name | Sara Jean Polley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841514734 PECOS PAC ID: 2860858602 Enrollment ID: I20230519001998 |
| Provider Name | Kirby Kaczor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003679234 PECOS PAC ID: 7911341102 Enrollment ID: I20240215001691 |
| Provider Name | Demi Rose Mancini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932724812 PECOS PAC ID: 3779901384 Enrollment ID: I20250123002391 |
| Provider Name | Ashley Lynn Tix |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164883773 PECOS PAC ID: 0244769073 Enrollment ID: I20250123003384 |
Collaborative Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5995 Oren Ave N Ste 203, Oak Park Heights, MN 55082 Phone: 651-504-5103 | |
Adap Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Omaha Ave N Lower Level #110, Oak Park Heights, MN 55082 Phone: 952-999-7820 Fax: 952-999-7821 |