Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wisdom Psychiatric Care and Medication Management LLC

Mental Health Clinic/Center (Including Community Mental Health Center) in Mounds View, MN · enumerated 2021 · authorized official Melodie Kabanuk Dohm, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255925962

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Registry record

Entity type Organization (Type 2)

Legal business name Wisdom Psychiatric Care and Medication Management LLC

Practice address 2704 Mounds View Blvd, Ste 12, Mounds View, MN, 55112

Phone (320) 232-0647

Fax (567) 205-3614

Enumeration date Feb 23, 2021

Last updated in NPPES Feb 17, 2022

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Melodie Kabanuk Dohm

Title Owner/Provider

Phone (320) 232-0647

Other identifiers

Identifier	Type	State	Issuer
359498100	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Wisdom Psychiatric Care and Medication Management LLC located?

The practice location on file with NPPES is in Mounds View, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-17.