Provider Demographics
NPI:1649060237
Name:COLLABORATIVE PSYCHIATRY
Entity type:Organization
Organization Name:COLLABORATIVE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARQUITTA
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:BRAIH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:952-856-8408
Mailing Address - Street 1:739 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1536
Mailing Address - Country:US
Mailing Address - Phone:952-856-8408
Mailing Address - Fax:
Practice Address - Street 1:739 ASHLEY DR
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1536
Practice Address - Country:US
Practice Address - Phone:952-856-8408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)