Organization Active NPI

New Start Behavioral Services

  • Community/Behavioral Health Agency
  • Waterloo, IA
National Provider Identifier
1023484383
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW START BEHAVIORAL SERVICES
Practice address
212 E 4TH Street,
Waterloo, IA 50703-2328
Phone
(319) 493-5120
NPI assigned
Aug 20, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Jefferson, BA
Title
Chief Executive Officer
Phone
(319) 493-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

212 E 4TH Street,
Waterloo, IA 50703-2328

Mailing address

212 E 4TH Street,
Waterloo, IA 50703-2328
Phone (319) 493-5120

National Provider Directory

National Provider Directory

Locations

212 E 4th St
Waterloo, IA 50703
Phone (319) 296-6909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1023484383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 4TH STREET,",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507032328",
            "telephone_number": "319-493-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 4TH STREET,",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507032328",
            "telephone_number": "319-493-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "319-493-5120",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.