HILLCREST FAMILY SERVICES (NPI# 1326096116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326096116 |
| Entity Type | Organization |
| Organization Name | HILLCREST FAMILY SERVICES |
| Practice Address |
2005 Asbury Rd Dubuque IA 52001-3042 |
| Practice Telephone | 5635837357 |
| Practice Fax Number | 5635837026 |
| Mailing Telephone | 5635837357 |
| Mailing Fax Number | 5635837026 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | MR. GARY L GANSEMER (CEO) |
| Authorized Official Telephone | 5635837357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0264705 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194230656 | Hillcrest Family Services | Community/Behavioral Health | 1160 Seippel Rd, Dubuque, IA 52002-9788 | 2017-12-06 |
| 1992256291 | Hillcrest Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2543 Wilbricht Ln, Dubuque, IA 52001-3034 | 2016-10-21 |
| 1730550252 | Hillcrest Family Services | Clinic/Center | 5900 Saratoga Rd Ste 11, Asbury, IA 52002-2124 | 2015-10-09 |
| 1497095046 | Hillcrest Family Services | Community/Behavioral Health | 13034 Seippel Rd, Dubuque, IA 52002-9687 | 2013-02-19 |
| 1538325915 | Hillcrest Family Services | Community/Behavioral Health | 117 S Olive St, Maquoketa, IA 52060-3015 | 2008-08-05 |
| 1780880310 | Hillcrest Family Services | Psychiatric Residential Treatment Facility | 2445 Hillcrest Rd, Dubuque, IA 52001 | 2007-06-21 |
| 1023232824 | Hillcrest Family Services | Clinic/Center | 2175 Lexington Blvd # 4, Washington, IA 52353-9100 | 2007-04-12 |
| 1497354773 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2020-10-19 |
| 1700433570 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2019-08-26 |
| 1104331651 | Hillcrest Family Services | Skilled Nursing Facility | 1160 Seippel Rd, Dubuque, IA 52002-9788 | 2017-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HILLCREST FAMILY SERVICES | 2005 Asbury Rd, Dubuque, IA 52001-3042 |
| Street Address |
2005 ASBURY RD |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354773 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2020-10-19 |
| 1700433570 | Hillcrest Family Services | Clinic/Center | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2019-08-26 |
| 1649748641 | Charity Anne Edgar | Social Worker | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-11-07 |
| 1518450485 | Tami Lee Koons | Counselor | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-06-14 |
| 1316449689 | Bridget Bartlett | Social Worker | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2018-03-02 |
| 1083120919 | Gretchen Bradshaw | Psychologist | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2017-12-14 |
| 1134641749 | Elizabeth Heisler | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2017-07-14 |
| 1699218115 | Tammy Bardon | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-12-01 |
| 1487103412 | Dennis Bradley | Counselor | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-10-03 |
| 1346798030 | Stacy Kaiser | Registered Nurse | 2005 Asbury Rd, Dubuque, IA 52001-3042 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
| 1053627182 | Neuropsychiatric Medicine Clinic Pllc | Psychiatry & Neurology | 511 S 3rd St, Clinton, IA 52732-4357 | 2010-08-26 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1104032002 | Kathryn Anne Kvederis | Psychiatry & Neurology | 3105 Druid Hill Dr, Des Moines, IA 50315-2122 | 2007-05-15 |
| 1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
| 1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
| 1336116953 | Suzanne Brown Henry | Psychiatry & Neurology | 2593 Holiday Rd, Coralville, IA 52241 | 2006-03-02 |
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
| 1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
| 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.