ALEGENT CREIGHTON HEALTH (NPI# 1770922437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770922437 |
| Entity Type | Organization |
| Organization Name | ALEGENT CREIGHTON HEALTH |
| Other Organization Name | CHI HEALTH PSYCHIATRIC ASSOCIATES |
| Practice Address |
800 Mercy Dr Council Bluffs IA 51503-3128 |
| Mailing Address |
12809 W Dodge Road Omaha NE 68154-2155 |
| Practice Telephone | 7123282609 |
| Practice Fax Number | 7123289257 |
| Mailing Telephone | 4023986255 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | KEITH JANKUSKI (COO) |
| Authorized Official Telephone | 4023434409 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHI NEBRASKA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHI Health Psychiatric Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12809 W Dodge Road, Omaha, NE 681542155 | 4023986255 | 4028298513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293744 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 1288 Valley View Drive, Pharmacy Ste 101, Council Bluffs, IA 51503-5245 | 2019-03-04 |
| 1104251628 | Alegent Creighton Health | Radiology | 17201 Wright St Ste 100, Omaha, NE 68130-2042 | 2013-09-04 |
| 1952660615 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8248 S 96th St Ste 101, La Vista, NE 68128-3126 | 2012-05-15 |
| 1427317205 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 13315 W Center Rd Ste 101, Omaha, NE 68144-3449 | 2012-05-14 |
| 1164553954 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 17201 Wright St, Suite 202, Omaha, NE 68130-2042 | 2007-03-07 |
| 1033288923 | Alegent Creighton Health | Dietitian, Registered | 12809 W Dodge Road, Omaha, NE 68154-2155 | 2006-11-07 |
| 1083700959 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3308 Samson Way Ste 106a, Bellevue, NE 68123-3235 | 2006-10-05 |
| 1760578652 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct Ste 107, Omaha, NE 68130-4661 | 2006-10-05 |
| 1508213810 | Alegent Creighton Health | Clinic/Center | 11111 S 84th St, Papillion, NE 68046-4122 | 2016-05-17 |
| 1376910448 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 4220 L St, Omaha, NE 68107-1048 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALEGENT CREIGHTON HEALTH | 7261 Mercy Rd, Omaha, NE 68124-2311 |
| Washington State Corporations | ALEGENT CREIGHTON HEALTH | 12809 W Dodge Rd, Omaha, NE 68154 |
| Street Address |
800 MERCY DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269301 | New Century Physicians of Iowa PC | Emergency Medicine | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2005-07-14 |
| 1104436575 | Benjamin Denich | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2020-07-31 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1588150809 | Nicholas J Crill | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-07-10 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| 1639687114 | Chi Health Clinic Physician Enterprise-anesthesia LLC | Nurse Anesthetist, Certified Registered | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-18 |
| 1215445077 | Melissa Kay Klutts | Nurse Practitioner | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-01-15 |
| 1699227892 | Ashley M Manhart | Registered Nurse | 800 Mercy Dr, Attn: Diabetic Education, Council Bluffs, IA 51503-3128 | 2016-11-04 |
| 1447616313 | Juanita Daisy Alvarez-hall | Registered Nurse | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2016-01-07 |
| 1932582848 | Nicholas Sakis | Hospitalist | 800 Mercy Dr, Council Bluffs, IA 51503 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1679581110 | James Severa | Psychiatry & Neurology | 100 East Broadway, Council Bluffs, IA 51503 | 2006-08-03 |
| 1962737791 | Psychiatric Services of Western Iowa Inc | Psychiatry & Neurology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2009-10-13 |
| 1891927430 | Harmit Singh | Psychiatry & Neurology | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2009-08-16 |
| 1053464834 | Ronald Lee Bendorf | Psychiatry & Neurology | 801 Harmony St, Suite #302, Council Bluffs, IA 51503-3106 | 2007-01-18 |
| 1629128624 | Craig Seamands | Psychiatry & Neurology | 801 Harmony St, Ste 302, Council Bluffs, IA 51503-3106 | 2007-01-11 |
| 1730239732 | Sriramamurthy Ravipati | Psychiatry & Neurology | 801 Harmony St, Ste 302, Council Bluffs, IA 51503-3106 | 2007-01-11 |
| 1578576112 | Alegent Health Bergan Mercy Health System | Psychiatry & Neurology | 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | 2006-08-14 |
| 1942251269 | Jennie Edmundson Memorial Hospital | Psychiatry & Neurology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793845 | Mind Alchemy Pllc | Psychiatry & Neurology | 505 5th St Ste 201, Sioux City, IA 51101-1500 | 2020-09-04 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1043878705 | Dorthea Lorine Wheeler | Psychiatry & Neurology | 200 Hawkins Dr Dept of Psychiatry, Iowa City, IA 52242-1009 | 2019-05-29 |
| 1942613955 | Center for Behavioral Health Iowa, Inc. | Psychiatry & Neurology | 3811 N Harrison St, Davenport, IA 52806-5911 | 2014-06-06 |
| 1891108361 | James Edward Braun | Psychiatry & Neurology | 260 Dillon St, Dubuque, IA 52003-7219 | 2014-06-03 |
| 1376961409 | Karen Powell | Psychiatry & Neurology | 1111 6th Ave # W3, Des Moines, IA 50314-2610 | 2014-04-05 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1760748446 | Krystal W Nizar | Psychiatry & Neurology | 450 Highway 1 W # 115, Iowa City, IA 52246-4204 | 2012-04-06 |
| 1548532971 | Curtis Carl Fredrickson | Psychiatry & Neurology | 15535 Landings Ave., Spirit Lake, IA 51360 | 2012-02-01 |
| 1841569936 | Chautauqua Clinic | Psychiatry & Neurology | 2709 W Briggs Ave Ste 4, Fairfield, IA 52556-2649 | 2011-12-20 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.