ST JUDE RETREAT HOUSE, LLC (NPI# 1538566732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538566732 |
| Entity Type | Organization |
| Organization Name | ST JUDE RETREAT HOUSE, LLC |
| Other Organization Name | ALPP INSTITUTE |
| Practice Address |
5875 Fleur Dr Des Moines IA 50321-2883 |
| Practice Telephone | 5154214066 |
| Mailing Telephone | 5154214066 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | TIM F CARSON (CFO) |
| Authorized Official Telephone | 5152987209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ALPP Institute | Doing Business As Name - Organization |
| Street Address |
5875 FLEUR DR |
| City | DES MOINES |
| State | IA |
| Zip Code | 50321-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750511143 | St Gregory Centers, Inc | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2009-07-20 |
| 1932697919 | Opioid Clinical Management, Inc. | Case Management | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2018-04-25 |
| 1518478916 | Anna Marie Bergida | Counselor | 5875 Fleur Dr, Des Moines, IA 50321 | 2017-10-12 |
| 1447760194 | Amanda Kristine Steward | Counselor | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2017-10-09 |
| 1578015749 | Stop Clinic LLC | Psychiatry & Neurology | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2016-11-03 |
| 1326445511 | St. Gregory Retreat Centers, LLC | Psychologist | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2014-12-03 |
| 1336484831 | St. Gregory Retreat Centers, LLC | Substance Abuse Rehabilitation Facility | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2012-12-10 |
| 1851699771 | Recovery Laboratory Services, Inc | Clinical Medical Laboratory | 5875 Fleur Dr, Suite 400, Des Moines, IA 50321-2883 | 2011-03-01 |
| 1184943797 | St. Jude Retreat House, LLC | Psychiatry & Neurology | 5875 Fleur Dr, Des Moines, IA 50321-2883 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780842864 | Allison Christine Carlson | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2008-05-27 |
| 1588961668 | Carlson Chiropractic Pllc | Chiropractor | 4600 Park Ave, Des Moines, IA 50321-1237 | 2011-02-25 |
| 1164646691 | Sara Esther Sutton | Family Medicine | 3219 Sw 39th St, Des Moines, IA 50321-1304 | 2007-04-13 |
| 1750696852 | Community Neurorehab of Iowa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3000 Sw 37th St, Des Moines, IA 50321-1330 | 2010-08-12 |
| 1942714514 | Donald Joseph Anderson | Surgery | 3317 Southern Hills Dr, Des Moines, IA 50321-1434 | 2017-11-19 |
| 1235461286 | Thomas Patrick Reynolds | Counselor | 3615 Thornton Ave, Des Moines, IA 50321-1845 | 2010-02-02 |
| 1023210671 | Marwin E. Goff | Dentist | 3906 Wolcott Ave, Des Moines, IA 50321-1868 | 2007-06-05 |
| 1285986711 | Jordan Samuelson | Counselor | 4100 Wolcott Ave, Des Moines, IA 50321-1872 | 2012-10-08 |
| 1134426331 | Harbor View Medical | Physical Medicine & Rehabilitation | 6151 Thornton Ave., Suite 200, Des Moines, IA 50321-1900 | 2011-02-24 |
| 1639425184 | Elizabeth R Proctor | Speech-Language Pathologist | 3001 Thornton Ave, Des Moines, IA 50321-2020 | 2012-08-01 |
| Find all providers in zip 50321 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376961409 | Karen Powell | Psychiatry & Neurology | 1111 6th Ave # W3, Des Moines, IA 50314-2610 | 2014-04-05 |
| 1659420099 | Stephen R Mandler | Psychiatry & Neurology | 2116 Grand Ave, Des Moines, IA 50312 | 2007-01-08 |
| 1154481273 | David E Drake Do PC | Psychiatry & Neurology | 1221 Center, #3, Des Moines, IA 50309-1014 | 2006-12-11 |
| 1235194143 | Thomas Kirby Koithan | Psychiatry & Neurology | 2500 82 Pl, Wadle and Associates PC, Des Moines, IA 50322-4329 | 2006-04-20 |
| 1629042288 | Martin Jerome Fialkov | Psychiatry & Neurology | 1201 63rd St, Des Moines, IA 50311-1943 | 2006-02-13 |
| 1184613101 | Loren A Olson | Psychiatry & Neurology | 4908 Franklin Ave, Des Moines, IA 50310-1901 | 2005-10-21 |
| 1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
| 1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1821612813 | Jennifer L Johnson | Psychiatry & Neurology | 1111 6th Ave, Des Moines, IA 50314-2613 | 2020-06-04 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50321 |
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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.