Active NPI
Mercy Medical Center North Iowa
- Psychiatry Physician
- Mason City, IA
National Provider Identifier
1154424414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MERCY MEDICAL CENTER NORTH IOWA
- Practice address
- 1000 4TH St SW
Suite Psy
Mason City, IA 50401-2800 - Phone
- (641) 422-7797
- Fax
- (641) 422-7516
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Rodney G Schlader
- Title
- Cfo
- Phone
- (641) 422-7349
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 4TH St SW
Suite Psy
Mason City, IA 50401-2800
Mailing address
621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489
Phone (641) 494-3041
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33472 | Other | IA | WELLMARK |
| 0282715 | Medicaid | IA |
Other names 1
NPPES NPI Registry- MERCY PHYCHIATRIC PHYSICIANS
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mercy.behavioral.services@trinityhealthia.medicity.net | Direct | MercyOne North Iowa |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2020.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1154424414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S ILLINOIS AVE",
"address_2": "SUITE 103",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015489",
"telephone_number": "641-494-3041",
"fax_number": "641-494-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"address_2": "SUITE PSY",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-422-7797",
"fax_number": "641-422-7516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MEDICAL CENTER NORTH IOWA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "SCHLADER",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "641-422-7349"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "33472",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0282715",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mercy.behavioral.services@trinityhealthia.medicity.net",
"affiliation": "Y",
"endpointDescription": "Direct email Address",
"affiliationName": "MercyOne North Iowa",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Email Address",
"address_1": "1631 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504011612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MERCY PHYCHIATRIC PHYSICIANS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MERCY PHYCHIATRIC PHYSICIANS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.