MENTAL HEALTH INSTITUTE (NPI# 1205911765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205911765 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH INSTITUTE |
| Other Organization Name | IMHI-PMIC |
| 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 | 2006-10-25 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | DR. BHASKER DAVE (SUPERINTENDANT) |
| Authorized Official Telephone | 3193342583 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MENTAL HEALTH INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 10PM35 | IA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0010108 | 05 |
| Other Name | Type Code |
|---|---|
| IMHI-PMIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467423657 | Mental Health Institute | Psychiatric Hospital | 1200 E Washington St, Mt Pleasant, IA 52641-1804 | 2006-01-27 |
| 1841279239 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-01-13 |
| 1134361199 | Mental Health Institute | Psychiatric Hospital | 1200 E Washington St, Mount Pleasant, IA 52641-1804 | 2009-04-06 |
| 1013066430 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2007-01-09 |
| 1023069440 | Mental Health Institute | Psychiatry & Neurology | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-05-12 |
| Street Address |
2277 IOWA AVE |
| City | INDEPENDENCE |
| State | IA |
| Zip Code | 50644-9106 |
| 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 |
| 1407958168 | Barbara J Roberson | Physician Assistant | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-09-02 |
| 1679684641 | Bhasker Jethalal Dave | Psychiatry & Neurology | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 50644 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929339 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 930 South Iowa Ave, Mason City, IA 50402 | 2019-02-27 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
| 1134265291 | Christian Home Association-children's Square U.S.A. | Psychiatric Residential Treatment Facility | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-01-29 |
| 1871665372 | Alegent Health Bergan Mercy Health System | Psychiatric Residential Treatment Facility | 359 Indian Hills Dr, Glenwood, IA 51534-1953 | 2006-11-14 |
| 1245309749 | Vera French Sheridan Springs | Psychiatric Residential Treatment Facility | 5006 Sheridan St., Davenport, IA 52806-4167 | 2006-11-07 |
| 1245220938 | Orchard Place | Psychiatric Residential Treatment Facility | 925 Sw Porter Ave, Des Moines, IA 50315-7235 | 2005-10-25 |
| 1205393071 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, North Oaks Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1194282962 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 5400 Kirkwood Blvd Sw, Mcintyre Program, Cedar Rapids, IA 52404-5298 | 2019-02-27 |
| 1992262760 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 50644 |
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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.