NPIMap

Organization Active NPI

Capstone Behavioral Healthcare, Inc

  • Community/Behavioral Health Agency
  • Newton, IA
National Provider Identifier
1174598908
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAPSTONE BEHAVIORAL HEALTHCARE, INC
Practice address
1123 1St Ave E
#200
Newton, IA 50208-3981
Phone
(641) 792-4012
Fax
(641) 791-0697
NPI assigned
Feb 23, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Renae Annette Northcutt, LMSW
Title
Assistant Director
Phone
(641) 792-4012

Specialties & licenses 2

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

Addresses

Primary practice location

1123 1St Ave E
#200
Newton, IA 50208-3981

Mailing address

1123 1St Ave E.
#200
Newton, IA 50208-3981
Phone (641) 792-4012

Other names 1

  • Capstone Center, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001459 IA Part B Supplier - Clinic/Group Practice 0648169573 Receives reassigned benefits from 18 practitioners
Practice locations: Newton, IA; Grinnell, IA

National Provider Directory

National Provider Directory

Locations

200 4th Ave W
Grinnell, IA 50112
Phone (641) 236-6137

2003 N Lincoln St
Knoxville, IA 50138
Phone (641) 842-4925

1123 1st Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-4012

306 N 3rd Ave E
Newton, IA 50208
Phone (641) 792-4012

712 Union St
#305
Pella, IA 50219
Phone (641) 628-9672

Practitioners & affiliated clinicians

Practitioners 77

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 77

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1174598908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 1ST AVE E.",
            "address_2": "#200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083981",
            "telephone_number": "641-792-4012",
            "fax_number": "641-791-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 1ST AVE E",
            "address_2": "#200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083981",
            "telephone_number": "641-792-4012",
            "fax_number": "641-791-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "641-792-4012",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Capstone Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.