MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC. (NPI# 1669492872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669492872 |
| Entity Type | Organization |
| Organization Name | MERCY PROFESSIONAL PRACTICE ASSOCIATES, INC. |
| Other Organization Name | MERCY BEHAVIORAL HEALTH SERVICES |
| 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 | 5152716300 |
| Mailing Telephone | 5156434374 |
| Mailing Fax Number | 5156432784 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | DAVID VELLINGA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152474278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0436550 | 05 | |
| IA | WELLMARK BLUE CROSS | CH6271 | 01 |
| IA | WELLMARK GROUP | 20989 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902286073 | Mercy Professional Practice Associates, Inc. | Hospice Care, Community Based | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1649650706 | Mercy Professional Practice Associates, Inc. | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1659751717 | Mercy Professional Practice Associates, Inc. | Surgery | 300 N 4th Ave E, Suite D, Newton, IA 50208-3155 | 2015-06-04 |
| 1487034542 | Mercy Professional Practice Associates, Inc. | Emergency Medicine | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1215317581 | Mercy Professional Practice Associates, Inc. | Home Health | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-02 |
| 1235499765 | Mercy Professional Practice Associates, Inc. | Pediatrics | 411 Laurel St, Suite: 3310, Des Moines, IA 50314-3017 | 2012-05-17 |
| 1467720771 | Mercy Professional Practice Associates, Inc. | Surgery | 1111 6th Ave, Suite: B1, Des Moines, IA 50314-2613 | 2011-12-01 |
| 1922014356 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-31 |
| 1124032016 | Mercy Professional Practice Associates, Inc. | Hospitalist | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-28 |
| 1437173812 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-27 |
| 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 |
| 1326323189 | Mercy Professional Practice Associates, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2011-10-12 |
| 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 |
| 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 | 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 | 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.