FAMILY COUNSELING & PSYCHOLOGY CENTER P.C. (NPI# 1083719587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083719587 |
Entity Type | Organization |
Organization Name | FAMILY COUNSELING & PSYCHOLOGY CENTER P.C. |
Practice Address |
2485 Tech Dr Bettendorf IA 52722-3262 |
Practice Telephone | 5633551611 |
Practice Fax Number | 5633556617 |
Mailing Telephone | 5633551611 |
Mailing Fax Number | 5633556617 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2009-06-22 |
Authorized Official Name | COLLIN ANDREW LODICO (OWNER) |
Authorized Official Telephone | 5633551611 |
Authorized Official Credential | PH. D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0263178 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457544850 | Family Counseling & Psychology Center P.C. | Clinic/Center | 303 18th St, Rock Island, IL 61201-8715 | 2007-08-20 |
Street Address |
2485 TECH DR |
City | BETTENDORF |
State | IA |
Zip Code | 52722-3262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164410924 | Daniel E Jens | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2005-10-06 |
1033566054 | Andrea Iavarone | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2016-05-19 |
1710370549 | Carla Sue Hermann | Pharmacy Technician | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2015-03-18 |
1497910608 | Laura M Stephens | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2008-07-28 |
1043354202 | Tammy Ann Saskowski | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2007-02-19 |
1821182163 | Amy Harksen | Counselor | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2006-10-03 |
1295820769 | Scott Caldwell | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2006-10-03 |
1730272212 | Lisa Schmitz-beecher | Counselor | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2006-10-02 |
1013009943 | Kimberly Corts | Social Worker | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2006-09-28 |
1851494561 | Melissa Michelle Estes | Counselor | 2485 Tech Dr, Bettendorf, IA 52722-3262 | 2006-09-07 |
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1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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 |
City | BETTENDORF |
Zip Code | 52722 |
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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.