COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA (NPI# 1124097134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124097134 |
Entity Type | Organization |
Organization Name | COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA |
Other Organization Name | COMMUNITY MENTAL HEALTH CTR |
Practice Address |
507 E College St Iowa City IA 52240-5115 |
Practice Telephone | 3193387884 |
Practice Fax Number | 3193387006 |
Mailing Telephone | 3193387884 |
Mailing Fax Number | 3193387006 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-09-21 |
Authorized Official Name | MR. STEPHEN TREFZ (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3193387884 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
N/A | IA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0074591 | 05 |
Other Name | Type Code |
---|---|
Community Mental Health Ctr | Other Name - Individual/Organization |
Street Address |
507 E COLLEGE ST |
City | IOWA CITY |
State | IA |
Zip Code | 52240-5115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285629816 | Robert E Smith | Psychiatry & Neurology | 507 E College St, Iowa City, IA 52240-5115 | 2005-09-20 |
1760865687 | Cari Williams | Social Worker | 507 E College St, Iowa City, IA 52240-5115 | 2015-07-09 |
1205232469 | Robert Gibson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-11-14 |
1164821815 | Sarah Anderson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-08-19 |
1164842480 | Steven Nachazel | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-04-25 |
1700202926 | Alexandria Rehm | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-03-12 |
1861826547 | Gabriel Aaron Bodzin | Social Worker | 507 E College St, Iowa City, IA 52240-5115 | 2013-08-29 |
1790127025 | Joy D Gibson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2013-07-29 |
1245672575 | Arielle S Gibson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2013-07-29 |
1699117929 | Erin L Droll | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2013-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1932613254 | Katherine L. Nydam Olivier, Lisw LLC | Clinic/Center | 757 W Benton St, Iowa City, IA 52246-5953 | 2017-11-22 |
1992006100 | Mid-eastern Council On Chemical Abuse | Clinic/Center | 438 Southgate Ave, Iowa City, IA 52240-4425 | 2010-11-04 |
1003060161 | Integrative Psychiatry of Iowa PC | Clinic/Center | 221 E College St, Suite 211, Iowa City, IA 52240-1699 | 2008-11-14 |
1780805689 | Wolfleg Company, Inc. | Clinic/Center | 2871 Heinz Rd, Ste 'b', Iowa City, IA 52240-8196 | 2007-05-01 |
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1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
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1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
1568007805 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 200, Osceola, IA 50213-1249 | 2019-11-11 |
1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.