Mr. Raphael Omoto
CNP | Nurse Practitioner - Psych/Mental Health
2215 E Lake St, Minneapolis
Minnesota, 55407-4385
612-596-9438
Mr. Raphael Omoto is a Minneapolis, Minnesota based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Mr. Raphael Omoto is 9968 for Psych/Mental Health NP in Minnesota. His current practice location is 2215 E Lake St, Minneapolis. Patients can reach him at 612-596-9438. Mr. Raphael Omoto is CNP with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1245939495.
Mr. Raphael Omoto provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Raphael Omoto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Raphael Omoto |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Credentials: | CNP |
| Practice Address: | 2215 E Lake St, Minneapolis,
Minnesota, 55407-4385 |
| Phone: | 612-596-9438 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1245939495 |
| NPI Enumeration Date: | 27 Feb, 2023 |
| NPI Last Update On: | 02 Apr, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Raphael Omoto are as mentioned below.
| License Number | Specialization | State | Status | |
| 9968 | Psych/Mental Health NP | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Raphael Omoto
7420 Unity Ave N Ste 310c,
Brooklyn Park, Minnesota |
| Zip: | 55443-3162 |
| Phone Number: | 612-212-2595 |
Patients can reach Mr. Raphael Omoto at
2215 E Lake St, Minneapolis, Minnesota or can
call to book an appointment on 612-596-9438.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.