DR. VITHALJI JERAMBHAI MODHA


Address: 2277 Iowa Ave, Independence, IA 50644-9106
Phone: 3193342583

DR. VITHALJI JERAMBHAI MODHA (NPI# 1013964279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013964279
Entity Type Individual
Full Name DR. VITHALJI JERAMBHAI MODHA
Credential MD
Practice Address 2277 Iowa Ave
Independence
IA 50644-9106
Practice Telephone 3193342583
Practice Fax Number 3193345252
Mailing Telephone 3193342583
Mailing Fax Number 3193345252
Enumeration Date 2006-05-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
26184 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0045989 05

Office Location

Street Address 2277 IOWA AVE
City INDEPENDENCE
State IA
Zip Code 50644-9106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841279239 Mental Health Institute Psychiatric Hospital 2277 Iowa Ave, Independence, IA 50644-9106 2006-01-13
1417508375 Carly Goldbeck Nurse Practitioner 2277 Iowa Ave, Independence, IA 50644-9106 2019-09-23
1649641978 Kelly Lynn Stevens Pharmacist 2277 Iowa Ave, Independence, IA 50644-9106 2015-10-13
1093186405 Sandra Lloyd Pharmacist 2277 Iowa Ave, Independence, IA 50644-9106 2015-10-12
1437402070 Jonathan Joseph Steffen Social Worker 2277 Iowa Ave, Independence, IA 50644-9106 2012-10-19
1437376746 Rudy Richard Kubik Dentist 2277 Iowa Ave, Independence, IA 50644-9106 2007-04-19
1104941236 Marla Kay Howlett Pharmacist 2277 Iowa Ave, Independence, IA 50644-9106 2007-03-20
1013066430 Mental Health Institute Psychiatric Hospital 2277 Iowa Ave, Independence, IA 50644-9106 2007-01-09
1205911765 Mental Health Institute Psychiatric Residential Treatment Facility 2277 Iowa Ave, Independence, IA 50644-9106 2006-10-25
1407958168 Barbara J Roberson Physician Assistant 2277 Iowa Ave, Independence, IA 50644-9106 2006-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476959 Diane Meyer Occupational Therapist 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 2020-01-10
1538717988 Kathy Ann Allsup Technician 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 2019-08-29
1619182219 Robert Thomas Kingus Optometrist 1310 1st St West, Independence, IA 50644 2007-05-14
1477646966 Matthew Patrick Fuelling Chiropractor 231 2nd Ave N.e., Independence, IA 50644 2006-10-02
1104889609 Sharla Kaye Wall Chiropractor 701 2nd Ave Ne, Independence, IA 50644 2006-04-07
1174053821 Megan Rose Trembly Speech-Language Pathologist 1610 3rd St Ne, Independence, IA 50644 2017-06-15
1710432786 Lauren Oldag Social Worker 2300 Swan Lake Blvd Ste 102, Independence, IA 50644 2016-08-19
1255781068 Bradley Boyle Optometrist 1310 1st St W, Independence, IA 50644 2016-06-13
1528372968 Thomas William Magner Counselor 417 5th St Nw, Independence, IA 50644-1554 2010-07-27
1093019796 Linda Lee Moore Community Health Worker 1717 3rd St. N.e., Independence, IA 50644-1717 2011-01-10
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457527657 Jose R Navato Psychiatry & Neurology 3445 S 291 Hwy, Suite 300, Independence, MO 64057-2663 2008-05-07
1134397185 Marthel E. Parsons M.d. LLC Psychiatry & Neurology 9205 E Us Highway 40, Independence, MO 64055-6109 2008-02-12
1235337668 Michael G Navato Psychiatry & Neurology 3445 M 291 Hwy #300, Independence, MO 64057-2666 2007-07-06
1306887153 Nabil El Halawany, Md Psychiatry & Neurology 4205 S Hocker Dr, Suite 200, Independence, MO 64055-4723 2006-06-10
1427018035 Marthel E Parsons Psychiatry & Neurology 9205 E 40 Hhighway, Independence, MO 64055 2006-03-27
1033189816 Bruno H Zwerenz Psychiatry & Neurology 10901 Winner Rd, Comprehensive Mental Health Services, Independence, MO 64052-0169 2006-01-25
1306816095 Meghnad C. Desai Psychiatry & Neurology 17844 E. 23rd Street, Independence, MO 64057-1061 2006-01-25
1518059187 Susan Sherlock Locke Psychiatry & Neurology 6133 Rockside Rd, Suite 207, Independence, OH 44131-2223 2006-09-29
1679684641 Bhasker Jethalal Dave Psychiatry & Neurology 2277 Iowa Ave, Independence, IA 50644-9106 2006-08-31
1710093661 Shura S Hegde Psychiatry & Neurology 6133 Rockside Rd, Ste 207 Rockside Square 2, Independence, OH 44131 2006-08-22
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City INDEPENDENCE
Zip Code 50644

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Dataset Information

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.

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