MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC (NPI# 1326323189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326323189 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC |
| Other Organization Name | MERCY BEHAVIORAL THERAPISTS |
| Practice Address |
1750 48th St Suite 2 Des Moines IA 50310-1988 |
| Mailing Address |
Po Box 4925 Des Moines IA 50305-4925 |
| Practice Telephone | 5152716300 |
| Practice Fax Number | 5152716311 |
| Mailing Telephone | 5152716300 |
| Mailing Fax Number | 5152716311 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | DAVID H VELLINGA (PRES/CEO) |
| Authorized Official Telephone | 5152474278 |
| 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) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Behavioral Therapists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649559980 | Mercy Professional Practice Associates, Inc | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2011-08-04 |
| 1669601787 | Mercy Professional Practice Associates, Inc | Physical Medicine & Rehabilitation | 1111 6th Ave, Suite B3, Des Moines, IA 50314-2613 | 2009-07-10 |
| 1548400997 | Mercy Professional Practice Associates, Inc | Internal Medicine | 1111 6th Ave, 4 South, Des Moines, IA 50314-2613 | 2009-02-25 |
| Street Address |
1750 48TH ST SUITE 2 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-1988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124020748 | Mark Allen Kloberdanz | Counselor | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2005-08-12 |
| 1427398338 | Mercy Clinics, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2013-03-01 |
| 1891034013 | Jennifer Norton | Nurse Practitioner | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2013-02-07 |
| 1184878365 | Dana Wylie | Social Worker | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2008-11-14 |
| 1912151267 | Warren Clark Johnson | Social Worker | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2008-11-13 |
| 1639263536 | Sheila Aukes | Social Worker | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2006-10-03 |
| 1760574040 | Marvita Mccown | Counselor | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2006-09-28 |
| 1033201389 | Joyce Feddersen | Counselor | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2006-09-28 |
| 1538251814 | Bonnie Mikelson | Social Worker | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2006-09-28 |
| 1366534612 | Nancy Kelinson | Social Worker | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 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 |
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1063402618 | Orchard Place | Clinic/Center | 808 5th Ave, Des Moines, IA 50309-1315 | 2005-10-25 |
| 1326660903 | Antonia L. Valadez, Lisw, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-05-17 |
| 1710508197 | Ananda Mental Wellness and Yoga, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-04-27 |
| 1205378890 | Sea Mar Community Health Centers | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-11-14 |
| 1619379724 | Melissa Dee Larsen | Clinic/Center | 5005 Douglas Ave, Suite 101, Des Moines, IA 50310-2760 | 2014-09-19 |
| 1427398338 | Mercy Clinics, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2013-03-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC.
| 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.