Provider Demographics
NPI:1265312607
Name:CONTEMPORARY MENTAL HEALTH
Entity type:Organization
Organization Name:CONTEMPORARY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONEROWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULI
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:CNP, PMHNP-BC
Authorized Official - Phone:320-429-7535
Mailing Address - Street 1:32518 RIVER VISTA LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-9564
Mailing Address - Country:US
Mailing Address - Phone:320-429-7535
Mailing Address - Fax:320-238-7528
Practice Address - Street 1:15088 22ND AVE NE STE 3
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3634
Practice Address - Country:US
Practice Address - Phone:320-429-7535
Practice Address - Fax:320-238-7528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty