MATTHEW J DZAK (NPI# 1841544681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841544681 |
| Entity Type | Individual |
| Full Name | MATTHEW J DZAK |
| Practice Address |
221 E State St Centerville IA 52544-1813 |
| Mailing Address |
302 Ne 14th St Leon IA 50144-1206 |
| Practice Telephone | 6414462383 |
| Mailing Telephone | 6414462383 |
| Mailing Fax Number | 6414462382 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | 076935 | IA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 302 Ne 14th St, Leon, IA 501441206 | 6414462383 | 6414462382 |
| 777 E Battlefield St, Suite 102b, Springfield, MO 658074807 | 4175974572 | 4178821507 |
| Street Address |
221 E STATE ST |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598748543 | Colleen Elizabeth Stephens | Social Worker | 221 E State St, Centerville, IA 52544-1813 | 2005-11-23 |
| 1033752423 | Chelsey Lynn Joiner | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2019-10-18 |
| 1265094304 | Krista Lynn Johnson | Nurse Practitioner | 221 E State St, Centerville, IA 52544-1813 | 2019-06-28 |
| 1073091476 | Meredith Frasher | Social Worker | 221 E State St, Centerville, IA 52544-1813 | 2018-07-30 |
| 1649707977 | Brian Worth | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2017-05-17 |
| 1962870196 | Regina M Lassabe | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2015-09-03 |
| 1457678203 | Danielle Lea O'brien | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2010-05-03 |
| 1639307077 | Michelle Margaret Pettengill | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2009-06-24 |
| 1598975799 | Jeanne Frances Winslow | Counselor | 221 E State St, Centerville, IA 52544-1813 | 2007-05-23 |
| 1639387582 | Roshan Dasari | Psychiatry & Neurology | 221 E State St, Centerville, IA 52544-1813 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1043414394 | Appanoose Community Care Services | Home Health | 19890 St. Joseph's Drive, Centerville, IA 52544 | 2007-06-12 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1255456315 | Kirk & Gordy Associates, LLC | Clinic/Center | 415 and A Half North Haynes, Centerville, IA 52544 | 2007-03-20 |
| 1114087574 | New Focus Inc | Clinic/Center | 102 W Washington, New Focus Inc, Centerville, IA 52544 | 2006-12-08 |
| 1134169030 | Ron Michael Harshman | Dentist | 501 W Jackson St, Centerville, IA 52544 | 2006-06-08 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447740972 | Wendie Sue Holland | Psychologist | 389 Annable Point Rd, Centerville, MA 02632-2401 | 2018-05-10 |
| 1922493535 | Kimberly E Anzek | Psychologist | 330 N Main St Ste 104, Centerville, OH 45459-4459 | 2015-03-31 |
| 1215355466 | Yolanda M Crooms | Psychologist | 9086 Payne Farm Ln, Centerville, OH 45458-9677 | 2014-04-04 |
| 1295954295 | Sue A Vanallen | Psychologist | 513 Windsor Park Dr., Centerville, OH 45459 | 2007-04-25 |
| 1376643684 | Larry M Pendley | Psychologist | 537 Windsor Park Dr, Centerville, OH 45459-4112 | 2006-09-25 |
| 1740296524 | Julie A Ganley | Psychologist | 7026 Corporate Way, 100, Centerville, OH 45459-4240 | 2006-07-31 |
| 1184608523 | Stephen Wayne Emerick | Psychologist | 7071 Corporate Way, Centerville, OH 45459-8911 | 2005-11-30 |
| 1750835922 | Michelle Grim | Psychologist | 539 Windsor Park Dr, Centerville, OH 45459-4112 | 2016-08-05 |
| 1437505740 | Kate Elizabeth Rogers | Psychologist | 386 N Main St, Centerville, UT 84014-1819 | 2016-05-05 |
| 1659753937 | Brandon Segura | Psychologist | 190 S Main St, Ste 400, Centerville, UT 84014-2814 | 2015-06-23 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 52544 |
Please comment or provide details below to improve the information on MATTHEW J DZAK.
| 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.