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Good State of Mind and Medical Cannabis Psychiatric Clinic

Psychiatric/Mental Health Nurse Practitioner in Rogers, MN · enumerated 2026 · authorized official Herbert Matanga, Owner- Pmhnp-Bc.

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

National Provider Identifier

1790621282

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Registry record

Entity type Organization (Type 2)
Legal business name Good State of Mind and Medical Cannabis Psychiatric Clinic
Practice address 19427 136th Ave N, Rogers, MN, 55374
Phone (763) 516-4476
Enumeration date Apr 27, 2026
Last updated in NPPES Apr 27, 2026

Taxonomy & classification

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

Authorized official

Name Herbert Matanga
Title Owner- Pmhnp-Bc
Phone (763) 516-4476

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.

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Frequently asked questions

What is the NPI number for Good State of Mind and Medical Cannabis Psychiatric Clinic?
The NPI for Good State of Mind and Medical Cannabis Psychiatric Clinic is 1790621282, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Good State of Mind and Medical Cannabis Psychiatric Clinic?
NPPES lists Herbert Matanga (Owner- Pmhnp-Bc) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-27.