ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1093201410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093201410 |
| Entity Type | Organization |
| Organization Name | ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
12160 S Utah Ave Davenport IA 52804-9537 |
| Mailing Address |
4600 3rd St Moline IL 61265-6106 |
| Practice Telephone | 5633261150 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | JOE PROVATEARE (DIRECTOR SUPPORT SERVICES) |
| Authorized Official Telephone | 3097792022 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196281 | Robert Young Center for Community Mental Health | Clinic/Center | 3100 7th St, East Moline, IL 61244-3262 | 2017-03-31 |
| 1609360163 | Robert Young Center for Community Mental Health | Counselor | 4230 11th St, Rock Island, IL 61201-6746 | 2018-06-19 |
| 1811481450 | Robert Young Center for Community Mental Health | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-06-18 |
| 1346734985 | Robert Young Center for Community Mental Health | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-06-18 |
| 1730685389 | Robert Young Center for Community Mental Health | Substance Abuse Rehabilitation Facility | 1616 Cedar St, Muscatine, IA 52761-3453 | 2018-04-03 |
| 1891227575 | Robert Young Center for Community Mental Health | Clinic/Center | 12200 104th St, Coal Valley, IL 61240-9712 | 2017-03-31 |
| 1376909309 | Robert Young Center for Community Mental Health | Community/Behavioral Health | 4600 3rd St, Moline, IL 61265-6106 | 2016-01-06 |
| 1871542829 | Robert Young Center for Community Mental Health | Community/Behavioral Health | 2701 17th St, Rock Island, IL 61201-5351 | 2006-05-08 |
| Street Address |
12160 S UTAH AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-9537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205344827 | Christina Sharer | Counselor | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-01-17 |
| 1336657543 | Angela Lee Erbst Ramirez | Counselor | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-01-22 |
| 1144738642 | Erin Phillips | Counselor | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-01-18 |
| 1497263016 | Ariana Pickett | Counselor | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| 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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| 1154490985 | Rosecrance New Life Outpatient Center | Clinic/Center | 2322 E Kimberly Rd Ste 200 Paul Revere Sq, Davenport, IA 52807-3042 | 2006-11-07 |
| 1932757333 | Genesis Health System | Clinic/Center | 4455 E 56th St, Davenport, IA 52807-2995 | 2019-08-28 |
| 1376599472 | Mid-florida Psychiatry Center Pl | Clinic/Center | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-05-26 |
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| 1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
| 1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
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| 1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
| 1568007805 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 200, Osceola, IA 50213-1249 | 2019-11-11 |
| 1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
| 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 | ||||
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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.