| Psych North PLLC | |
|
4628 Mike Colalillo Dr Duluth MN 55807-2732 | |
| (218) 209-2150 | |
| (833) 903-0315 |
| Full Name | Psych North PLLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4628 Mike Colalillo Dr, Duluth, Minnesota |
| Authorized Official Name and Position | Patrick Bailey (CO-OWNER) |
| Authorized Official Contact | 2183495689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych North PLLC Po Box 18 Rosemount MN 55068-0018 Ph: (651) 352-6363 | Psych North PLLC 4628 Mike Colalillo Dr Duluth MN 55807-2732 Ph: (218) 209-2150 |
| NPI Number | 1760136964 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 10/22/2026 |
| Certification Date | 10/22/2026 |
| Medicare PECOS PAC ID | 9537546841 |
|---|---|
| Medicare Enrollment ID | O20220506000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760136964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
| Provider Name | Patrick a Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194749267 PECOS PAC ID: 0648165852 Enrollment ID: I20040217000774 |
| Provider Name | Sujit R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
| Provider Name | Nancy L Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508824889 PECOS PAC ID: 9931113289 Enrollment ID: I20060126000150 |
| Provider Name | Wendy S Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689873598 PECOS PAC ID: 4385731538 Enrollment ID: I20071105000099 |
| Provider Name | Natalie N Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174763528 PECOS PAC ID: 4880743947 Enrollment ID: I20090519000644 |
| Provider Name | Krista L Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948428 PECOS PAC ID: 6103136726 Enrollment ID: I20151112000178 |
| Provider Name | Heidi a Greifzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386260370 PECOS PAC ID: 3173940954 Enrollment ID: I20200825000895 |
| Provider Name | Natalie N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174763528 PECOS PAC ID: 4880743947 Enrollment ID: I20230417000698 |
| Provider Name | Amy Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386216547 PECOS PAC ID: 1254787179 Enrollment ID: I20231030002050 |
| Provider Name | Carrie Ann Babich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083115067 PECOS PAC ID: 3375995996 Enrollment ID: I20240119001079 |
| Provider Name | Erika Heard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134413750 PECOS PAC ID: 8527334408 Enrollment ID: I20240201001448 |
| Provider Name | Breanna Marie Mae Hatinen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548834922 PECOS PAC ID: 6305284209 Enrollment ID: I20240410001991 |
| Provider Name | Abby Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255143400 PECOS PAC ID: 2769912211 Enrollment ID: I20250212003598 |
| Provider Name | Eric Krawczyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255721494 PECOS PAC ID: 2668815226 Enrollment ID: I20250714000644 |
| Provider Name | Sophie Tomsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649147018 PECOS PAC ID: 4981195831 Enrollment ID: I20251118004011 |
| Provider Name | John Frink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427363076 PECOS PAC ID: 4789155375 Enrollment ID: I20260604001739 |
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