ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1346734985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346734985 |
| Entity Type | Organization |
| Organization Name | ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
1519 E Locust St Davenport IA 52803-3243 |
| Mailing Address |
4600 3rd St Moline IL 61265-6106 |
| Practice Telephone | 5633264116 |
| Mailing Telephone | 3097792022 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| 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 |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| 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 |
| 1093201410 | Robert Young Center for Community Mental Health | Clinic/Center | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-07-09 |
| 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 |
| 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 |
1519 E LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669970844 | Aubrey Cartwright | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-23 |
| 1336647676 | Ralph Edward Hall | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871920991 | Appalachian Counseling Services, Inc | Clinic/Center | 1034 Freehold Road, Davenport, VA 24239 | 2013-10-03 |
| 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 |
| 1093201410 | Robert Young Center for Community Mental Health | Clinic/Center | 12160 S Utah Ave, Davenport, IA 52804-9537 | 2018-07-09 |
| 1376599472 | Mid-florida Psychiatry Center Pl | Clinic/Center | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-05-26 |
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| 1285243337 | Ames Creative Healing Counseling | Clinic/Center | 2135 N Dakota Ave, Ames, IA 50014-9016 | 2020-07-24 |
| 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 |
| 1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
| 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.