INNOVATIVE PSYCHIATRIC CARE PC (NPI# 1306949896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306949896 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PSYCHIATRIC CARE PC |
| Practice Address |
3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534 |
| Practice Telephone | 5152796200 |
| Practice Fax Number | 5152794528 |
| Mailing Telephone | 5152796200 |
| Mailing Fax Number | 5152794528 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | DR. LOREN A OLSON (OWNER) |
| Authorized Official Telephone | 5152796200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0249649 | 05 |
| Street Address |
3900 INGERSOLL AVE SUITE 108 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275535890 | Carrie Joan Peitzmeier | Social Worker | 3900 Ingersoll Ave, Suite 201, Des Moines, IA 50312-3534 | 2005-08-12 |
| 1386979755 | Mollie Cay Hill | Counselor | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2009-10-02 |
| 1073752218 | Counseling Associates of Central Iowa PC | Psychologist | 3900 Ingersoll Ave, Suite 201, Des Moines, IA 50312-3551 | 2009-02-11 |
| 1578676128 | Darla R Krom | Social Worker | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2006-08-17 |
| 1225027238 | Richard L Joens | Social Worker | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2005-10-21 |
| 1841292471 | Michael Lee Huston | Psychologist | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2005-08-12 |
| 1255333894 | Linda Dee Ream | Social Worker | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316394489 | Alex Blaze | Specialist | 2311 S Kent Des Moines Rd Apt A103, Des Moines, WA 98198-7083 | 2016-05-19 |
| 1245494400 | Mary Van De Ven | Specialist | 23619 14th Ave S, Des Moines, WA 98198-7402 | 2008-07-16 |
| 1003032681 | Amber Marie Felix | Specialist | 22226 6th Ave S Ste 101, Des Moines, WA 98198-6246 | 2007-04-18 |
| 1629104518 | Heartland Plastic and Reconstructive Surgery P.C. | Specialist | 10611 Hickman Rd, Des Moines, IA 50322-3731 | 2007-02-26 |
| 1215071774 | Erin Mischel Everitt | Specialist | 22760 Marine View Dr S Ste 101, Des Moines, WA 98198-8408 | 2007-02-17 |
| 1780754044 | Janis Ann Jacobson | Specialist | 22760 Marine View Dr S, Des Moines, WA 98198-8408 | 2006-11-08 |
| 1285601641 | Jerusa Kamala | Specialist | 1250 9th Street, Des Moines, IA 50316-2765 | 2006-03-03 |
| 1457357642 | Roy Alden Hart | Specialist | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2005-06-22 |
| 1912901257 | Marc Alan Ewers | Specialist | 1301 Penn Ave, Ste 406, Des Moines, IA 50316-2350 | 2005-06-01 |
| 1598382830 | Patty Keeley | Specialist | 1409 Clark St, Des Moines, IA 50314-1916 | 2020-07-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on INNOVATIVE PSYCHIATRIC CARE PC.
| 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.