ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH (NPI# 1811481450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811481450 |
| Entity Type | Organization |
| Organization Name | ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH |
| Practice Address |
1523 S Fairmount St Davenport IA 52802-3644 |
| Mailing Address |
4600 3rd St Moline IL 61265-6106 |
| Practice Telephone | 5633222667 |
| Mailing Telephone | 3097792022 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MR. 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 |
| 1346734985 | Robert Young Center for Community Mental Health | Counselor | 1519 E Locust St, Davenport, IA 52803-3243 | 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 |
1523 S FAIRMOUNT ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52802-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| 1891394003 | Traci Anne Swift | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2020-10-19 |
| 1831747922 | Heather Snyder | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2019-08-31 |
| 1235637869 | Mica Rae Frandsen | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-29 |
| 1083112098 | Annalyse Gratzek | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-24 |
| 1386142529 | Daniella T'iara Harris Campbell | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-23 |
| 1902314388 | Krystle Krauss | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1699283036 | Jennifer Lynn Hunter | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-19 |
| 1215445689 | Jesse Hamerlinck | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| 1467960906 | Vickie Lynne Streicher | Counselor | 1523 S Fairmount St, Davenport, IA 52802-3644 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042465 | William Albert Childers Jr. | Technician | 1455 W. 8th St., Davenport, IA 52802 | 2020-01-13 |
| 1790293181 | Amy Ruth Allison | Counselor | 1523 S. Fairmount St., Davenport, IA 52802 | 2018-01-19 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1205063096 | Ryan Bobst | Student in an Organized Health Care Education/Training Program | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-18 |
| 1902033673 | Angela C Wells | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1891922563 | Christy A Carter | Social Worker | 1229 W 8th St, Davenport, IA 52802-1331 | 2009-06-19 |
| 1548892359 | Annemarie Irene Chambliss | Counselor | 1202 W 3rd St, Davenport, IA 52802-1344 | 2020-02-10 |
| 1457909103 | Margaret Olin Meloy | Social Worker | 1202 W 3rd St, Davenport, IA 52802-1344 | 2019-08-27 |
| 1629544929 | Rebecca Schroeder | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-15 |
| 1225503832 | Nora Elizabeth Wenzel | Behavior Technician | 1202 W 3rd St, Davenport, IA 52802-1344 | 2018-10-10 |
| Find all providers in zip 52802 | ||||
| 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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| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 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.