SOUTHWEST IOWA MENTAL HEALTH CENTER (NPI# 1568813475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568813475 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST IOWA MENTAL HEALTH CENTER |
| Other Organization Name | SOUTHWEST IOWA MENTAL HEALTH CENTER- CASE MANAGEMENT |
| Practice Address |
1500 E 10th St Atlantic IA 50022-1935 |
| Practice Telephone | 7122432606 |
| Practice Fax Number | 7122437811 |
| Mailing Telephone | 7122432606 |
| Mailing Fax Number | 7122437811 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MR. JOHN RICHARD BIGELOW JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7122432606 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST IOWA MENTAL HEALTH CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Iowa Mental Health Center- Case Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033181086 | Southwest Iowa Mental Health Center | Clinic/Center | 2307 Olive St, Atlantic, IA 50022-9768 | 2006-02-03 |
| Street Address |
1500 E 10TH ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1386206522 | Kristopher Corrigan | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-07-08 |
| 1316403702 | Andrea Gomez | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2019-02-11 |
| 1043789183 | Alesia Jo Baxter | Registered Nurse | 1500 E 10th St, Atlantic, IA 50022-1935 | 2018-11-19 |
| 1871007997 | Damon B Clark | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-11-28 |
| 1225547094 | Cheree Kafton | Registered Nurse | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-09-25 |
| 1790219426 | Rebecka E Rosmann | Psychologist | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-04-19 |
| 1831637511 | Brian M Moorhead | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-02-02 |
| 1548707029 | Justina R Reeves | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2017-01-23 |
| 1114377272 | Celeste L Borts | Counselor | 1500 E 10th St, Atlantic, IA 50022-1935 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| Find all providers in zip 50022 | ||||
| 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 |
|---|---|---|---|---|
| 1033181086 | Southwest Iowa Mental Health Center | Clinic/Center | 2307 Olive St, Atlantic, IA 50022-9768 | 2006-02-03 |
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| 1285243337 | Ames Creative Healing Counseling | Clinic/Center | 2135 N Dakota Ave, Ames, IA 50014-9016 | 2020-07-24 |
| 1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
| 1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
| 1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.