NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC (NPI# 1811187917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811187917 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
| Other Organization Name | BERRYHILL CENTER FOR MENTAL HEALTH |
| Practice Address |
726 S 17th St Fort Dodge IA 50501-5344 |
| Mailing Address |
720 Kenyon Rd Fort Dodge IA 50501-5759 |
| Practice Telephone | 5159557171 |
| Practice Fax Number | 5155737898 |
| Mailing Telephone | 5159557171 |
| Mailing Fax Number | 5155737898 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | MRS. DEB ALBRECHT (EXEC DIRECTOR) |
| Authorized Official Telephone | 5159557171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BC/BS | 07466 | 01 |
| IA | 0159608 | 05 |
| Other Name | Type Code |
|---|---|
| Berryhill Center for Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902163298 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1050 15th St N, Humboldt, IA 50548-1076 | 2012-04-12 |
| 1588701957 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 500 Fair Meadow Dr, Webster City, IA 50595-3209 | 2007-02-01 |
| 1104963586 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 120 1st Ave Nw Ste 2, Clarion, IA 50525-1445 | 2007-02-01 |
| 1871030536 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2017-01-19 |
| 1497136246 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 109 W State St, Algona, IA 50511-2657 | 2015-06-17 |
| 1871910588 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2014-03-20 |
| 1588926448 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1890 E Main St, Lake City, IA 51449-7706 | 2012-06-15 |
| 1588933089 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2011-12-29 |
| 1639455074 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2011-10-31 |
| 1619253051 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2011-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INCORPORATED | 720 Kenyon Road, Fort Dodge, IA 50501 |
| Street Address |
726 S 17TH ST |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174021299 | Connie Harvey | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2018-01-23 |
| 1295252526 | Dennis Michener | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2017-08-28 |
| 1518488683 | Bonnie Riphagen | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2017-06-29 |
| 1306296272 | Melissa Ann Peterson | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2016-06-21 |
| 1629441076 | Amy Potts | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2015-11-06 |
| 1417329038 | Ronette Cabbell | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2015-10-22 |
| 1750753539 | Tyler Lennon | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2015-10-20 |
| 1104298967 | Victoria Bell | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2015-10-20 |
| 1326487893 | Megan Jondle | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2013-06-18 |
| 1679911002 | Kelly Moore | Counselor | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2013-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1487921185 | North Central Iowa Mental Health Center Inc | Clinic/Center | 925 Martin Luther King Dr, Fort Dodge, IA 50501-2866 | 2011-11-23 |
| 1790259042 | Manz Pastoral Counseling LLC | Clinic/Center | 728 1st Ave N, Fort Dodge, IA 50501-0466 | 2019-01-18 |
| 1902296932 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2015-01-29 |
| 1871910588 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2014-03-20 |
| 1588933089 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2011-12-29 |
| 1639455074 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2011-10-31 |
| 1356627798 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2400 6th Ave N, Fort Dodge, IA 50501-3520 | 2011-10-31 |
| 1457637894 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 420 Kenyon Rd, Fort Dodge, IA 50501-5749 | 2011-10-31 |
| 1891071239 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2721 10th Ave N, Fort Dodge, IA 50501-2834 | 2011-10-31 |
| 1922188606 | North Central Iowa Mental Health Center Inc | Clinic/Center | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2006-10-16 |
| Find all providers in FORT DODGE | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC.
| 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.