Active NPI
Childserve Specialty Hospital, Inc.
- Pediatric Rehabilitation Medicine Physician
- Johnston, IA
National Provider Identifier
1194672592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- Legal business name
- CHILDSERVE SPECIALTY HOSPITAL, INC.
- Practice address
- 5406 Merle Hay Rd
Johnston, IA 50131-1209 - Phone
- (515) 727-8750
- NPI assigned
- Mar 13, 2026
- Last updated
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paige Jaeger, MHA, FACHE
- Title
- Coo
- Phone
- (515) 727-1495
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Registered Dietitian | 133V00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Otolaryngology Physician | 207Y00000X | NU | ||
| Pediatric Pulmonology Physician | 2080P0214X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | ||
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | NU | Primary | |
| Neurology Physician | 2084N0400X | NU | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | ||
| Behavior Analyst | 103K00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
5406 Merle Hay Rd
Johnston, IA 50131-1209
Mailing address
PO Box 707
Johnston, IA 50131-0707
Phone (515) 727-1468
National Provider Directory
National Provider Directory- Tax ID family
- Childserve Specialty Hospital Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Special Hospital
- Johnston, IA
- NPI 1366231185
Locations
5406 Merle Hay Rd
Johnston, IA 50131
Phone (515) 727-8750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1194672592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 707",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501310707",
"telephone_number": "515-727-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 MERLE HAY RD",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311209",
"telephone_number": "515-727-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDSERVE SPECIALTY HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-13",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "JAEGER",
"authorized_official_first_name": "PAIGE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "515-727-1495",
"authorized_official_credential": "MHA, FACHE"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
- Childserve Homes Inc. (ChildServe Stonecrest Home)
- Childserve Homes Inc. (ChildServe Morningside Home)
- Childserve Homes Inc. (ChildServe Johnston Home)
- Childserve Medical Equipment & Supply Inc.
- Childserve Medical Equipment & Supply Inc. (ChildServe Medical Equipment & Supply Inc. Waiver)
- Childserve Specialty Hospital, Inc.
- Childserve Therapy Inc. (ChildServe Therapy DME)
- Childserve Therapy Inc. (ChildServe Audiology)
- Childserve Therapy, Inc.
- Jessica Lynn Chiodo, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.