NPIMap

Organization Active NPI

Community Mental Health Center for Mid-Eastern Iowa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iowa City, IA
National Provider Identifier
1124097134
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
N/A Issued in IA
Legal business name
COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA
Practice address
507 E College St
Iowa City, IA 52240-5115
Phone
(319) 338-7884
Fax
(319) 338-7006
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mr. Stephen TrefzNPI 1326148131
Title
Executive Director
Phone
(319) 338-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X N/A IA Primary

Addresses

Primary practice location

507 E College St
Iowa City, IA 52240-5115

Mailing address

507 E College St
Iowa City, IA 52240-5115
Phone (319) 338-7884

Other identifiers 1

IdentifierTypeStateIssuer
0074591MedicaidIA

Other names 1

  • Community Mental Health Ctr Other name

National Provider Directory

National Provider Directory

Locations

505 E College St
Iowa City, IA 52240
Phone (319) 338-7884

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1124097134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E COLLEGE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522405115",
            "telephone_number": "319-338-7884",
            "fax_number": "319-338-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E COLLEGE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522405115",
            "telephone_number": "319-338-7884",
            "fax_number": "319-338-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH CENTER FOR MID-EASTERN IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "TREFZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-338-7884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074591",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Mental Health Ctr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.