MEDITELECARE OF IOWA PLLC (NPI# 1386146678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386146678 |
| Entity Type | Organization |
| Organization Name | MEDITELECARE OF IOWA PLLC |
| Practice Address |
400 E Court Ave Ste 110 Des Moines IA 50309-2027 |
| Mailing Address |
Po Box 1595 Middletown CT 06457-8095 |
| Practice Telephone | 8607886404 |
| Practice Fax Number | 8608290495 |
| Mailing Telephone | 8607886404 |
| Mailing Fax Number | 8608290495 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 8607886404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
400 E COURT AVE STE 110 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124424999 | Harriett Dickey-chasins | Psychologist | 333 E Grand Ave Unit 121, Des Moines, IA 50309-1959 | 2014-11-06 |
| 1922316710 | Hayden Finch | Psychologist | 1400 Walnut St # 110, Des Moines, IA 50309-3427 | 2010-09-15 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1003958232 | Jerald Catron | Psychologist | 3850 Merle Hay Rd Ste 300, Des Moines, IA 50310-1324 | 2007-02-13 |
| 1821002213 | Susan Marie Guenther | Psychologist | 2800 Rutland Ave, Des Moines, IA 50311-4014 | 2006-07-28 |
| 1326027566 | Philip Lawrence Ascheman | Psychologist | 7177 Hickman Rd, Suite 12, Des Moines, IA 50322-4844 | 2006-01-16 |
| 1861494403 | Steven Gordon Warner | Psychologist | 1801 Hickman Rd., Des Moines, IA 50314-1597 | 2005-08-12 |
| 1447651963 | Susan M Guenther, Ph.d., PC | Psychologist | 2800 Rutland Ave, Des Moines, IA 50311-4014 | 2014-09-16 |
| 1538403621 | Rachel Heiss Phd Plc | Psychologist | 1922 Ingersoll Ave, Suite 130, Des Moines, IA 50309-3339 | 2012-11-15 |
| 1407182058 | Todd Pietruszka | Psychologist | 2130 Grand Ave Ste B, Des Moines, IA 50312-5384 | 2009-11-02 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
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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.