NPIMap

Organization Active NPI

Orchard Place

Doing business as PACE Juvenile Center

  • Adolescent and Children Mental Health Clinic/Center
  • Des Moines, IA
National Provider Identifier
1174513717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ORCHARD PLACE
Doing business as
PACE Juvenile Center
Practice address
620 8TH St
Des Moines, IA 50309-1539
Phone
(515) 697-5700
NPI assigned
Oct 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Valerie Saltsgaver
Title
Cfo
Phone
(515) 246-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

620 8TH St
Des Moines, IA 50309-1539

Mailing address

808 5TH Ave
Des Moines, IA 50309-1315

Other identifiers 2

IdentifierTypeStateIssuer
68230OtherIABLUE CROSS BLUE SHIELD
0074658MedicaidIA

Other names 1

  • PACE Juvenile Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2078365Orchard Place Pace620 8TH Street, Des Moines, IA 50309Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Orchard Place4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

  • Orchard Place

    dba Child Guidance Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Des Moines, IA
    • NPI 1063402618
    NPD tax ID
  • Orchard Place
    • Psychiatric Residential Treatment Facility
    • Des Moines, IA
    • NPI 1245220938
    NPD tax ID
  • Orchard Place
    • Psychiatric Residential Treatment Facility
    • Des Moines, IA
    • NPI 1902119118
    NPD tax ID

Locations

620 8th St
Des Moines, IA 50309
Phone (515) 697-5700

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174513717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 5TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 8TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091539",
            "telephone_number": "515-697-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTSGAVER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-246-3501"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "68230",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074658",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACE Juvenile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.