Provider Demographics
NPI:1265315899
Name:CENTER FOR DEVELOPMENTAL PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:CENTER FOR DEVELOPMENTAL PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHWIETERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-799-5397
Mailing Address - Street 1:3033 EXCELSIOR BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5265
Mailing Address - Country:US
Mailing Address - Phone:612-922-2597
Mailing Address - Fax:612-417-0858
Practice Address - Street 1:3033 EXCELSIOR BLVD STE 530
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-5265
Practice Address - Country:US
Practice Address - Phone:612-922-2597
Practice Address - Fax:612-417-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty