MAPLE PSYCHIATRY – Child & Adolescent Psychiatry Physician, NPI 1194593566

MAPLE PSYCHIATRY is a healthcare provider. based in Owatonna, Minnesota. specializing in Child & Adolescent Psychiatry Physician. The NPI Number for MAPLE PSYCHIATRY is 1194593566

Main info

Organization
Name
MAPLE PSYCHIATRY
NPI
1194593566
Phone
(425) 446-0012
Address
202 N CEDAR AVE STE 1
Authorized Official
DR. NICOLE BURKETTE IKEBATA PSYCHIATRIST MD, MPH
Enumeration Date
15 December 2023
Last Update Date
15 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for MAPLE PSYCHIATRY

  • 202 N CEDAR AVE STE 1

    OWATONNA, MN 550602306

    Phone: (425) 446-0012

    Type: Mailing

  • 1873 SHRYER AVE W

    ROSEVILLE, MN 551135413

    Phone: (425) 446-0012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55060)

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Frequently asked questions

What is the standard ID for MAPLE PSYCHIATRY in the U.S.?
In the U.S., MAPLE PSYCHIATRY is identified by NPI 1194593566.
Should I treat MAPLE PSYCHIATRY as an active provider?
Patients and plans typically see MAPLE PSYCHIATRY as active in the national extract.
What type of care does MAPLE PSYCHIATRY provide?
MAPLE PSYCHIATRY's profile centers on Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MAPLE PSYCHIATRY?
The directory associates MAPLE PSYCHIATRY with Owatonna, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export MAPLE PSYCHIATRY's record?
You can download the official NPPES record; we summarize key fields for readability.

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