KATHERINE L. NYDAM OLIVIER, LISW LLC (NPI# 1932613254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932613254 |
| Entity Type | Organization |
| Organization Name | KATHERINE L. NYDAM OLIVIER, LISW LLC |
| Practice Address |
757 W Benton St Iowa City IA 52246-5953 |
| Practice Telephone | 3193394757 |
| Mailing Telephone | 3193394757 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Authorized Official Name | KATHERINE L NYDAM OLIVIER (PRESIDENT) |
| Authorized Official Telephone | 3193394757 |
| Authorized Official Credential | LISW |
| 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 | 1041CO700X | 05 |
| Street Address |
757 W BENTON ST |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52246-5953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014703 | Christine Marie Vincent | Counselor | 757 W Benton St, Iowa City, IA 52246-5953 | 2006-09-17 |
| 1508379819 | Vincent Psychotherapy Services | Counselor | 757 W Benton St, Iowa City, IA 52246-5953 | 2017-11-08 |
| 1730434937 | Iowa City Family Dentistry PC | Dentist | 757 W Benton St, Iowa City, IA 52246-5953 | 2012-07-13 |
| 1710275334 | Robert James Thompson | Dentist | 757 W Benton St, Iowa City, IA 52246-5953 | 2011-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476573 | Nashika Antionette Tetteh | Registered Nurse | 601 Us-6 W, Iowa City, IA 52246 | 2020-08-05 |
| 1023523636 | Rebeca Marie Maynor | Specialist/Technologist | 2820 Prairie Meadow Dr., Iowa City, IA 52246 | 2017-12-05 |
| 1114436052 | Anna Salino-hugg | Social Worker | 601 Hwy 6. W, Iowa City, IA 52246 | 2017-09-22 |
| 1841718954 | Ashley Kathleen Norwood-strickland | Psychologist | 148 Penfro Dr, Iowa City, IA 52246 | 2017-09-08 |
| 1982156303 | Shilmi Patel | Student in an Organized Health Care Education/Training Program | 601 W Benton St, Iowa City, IA 52246 | 2016-11-02 |
| 1356794358 | Jenna Herrington | Registered Nurse | 601 Us 6, Iowa City, IA 52246 | 2016-07-14 |
| 1972959435 | Deborah Betsworth | Psychologist | Iowa City Va Health Care System, 601 Hwy 6 West, Iowa City, IA 52246 | 2016-05-13 |
| 1831550557 | Kara Joelle Kershner | Specialist/Technologist | 375 Newton Road, Iowa City, IA 52246 | 2016-03-08 |
| 1366819005 | Amanda Miller | Speech-Language Pathologist | 1522 Mall Dr, Iowa City, IA 52246 | 2015-08-28 |
| 1508253519 | Kiara Michelle Agosto- Burgos | Registered Nurse | 601 Hwy 65 W, Iowa City, IA 52246 | 2015-04-17 |
| Find all providers in zip 52246 | ||||
| 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 |
|---|---|---|---|---|
| 1811556038 | Sonia Liliana Liggins, Lmhc LLC | Clinic/Center | 432 E Bloomington St, Iowa City, IA 52245-2800 | 2019-06-11 |
| 1164032934 | Awakening Substance Abuse & Behavioral Health | Clinic/Center | 2030 Keokuk St, Iowa City, IA 52240-4456 | 2020-08-05 |
| 1992006100 | Mid-eastern Council On Chemical Abuse | Clinic/Center | 438 Southgate Ave, Iowa City, IA 52240-4425 | 2010-11-04 |
| 1003060161 | Integrative Psychiatry of Iowa PC | Clinic/Center | 221 E College St, Suite 211, Iowa City, IA 52240-1699 | 2008-11-14 |
| 1780805689 | Wolfleg Company, Inc. | Clinic/Center | 2871 Heinz Rd, Ste 'b', Iowa City, IA 52240-8196 | 2007-05-01 |
| 1124097134 | Community Mental Health Center for Mid-eastern Iowa | Clinic/Center | 507 E College St, Iowa City, IA 52240-5115 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454887 | Praxis Girl, PC | Clinic/Center | 4070 Hickory Hill Ln, Cedar Rapids, IA 52403-3739 | 2020-10-16 |
| 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.