Corridor Health Care, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

37768 Issued in IA

Legal business name

CORRIDOR HEALTH CARE, INC.

Practice address

4005 Wilson Ave SW
Cedar Rapids, IA 52404-6340

Phone

(319) 826-3994

Fax

(319) 826-3996

NPI assigned

Mar 2, 2012

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Simison, M.D.NPI 1366651150

Title

President

Phone

(319) 826-3994

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael D Simison, M.D.

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1366651150
  NPD (past) Authorized official

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1205100674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046340",
            "telephone_number": "319-826-3994",
            "fax_number": "319-826-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046340",
            "telephone_number": "319-826-3994",
            "fax_number": "319-826-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SIMISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-826-3994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "37768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Brief Therapy
• Cornerstone Brief Therapy, Inc.
• Cornerstone Support Services LLC
• Candace Correa, M.D.
• Corridor Counseling, PLLC
• Shannon Costigan, OTR/L
• Cottage Grove Place
• Christina Lin Couch, PSY.D.
• Melissa Lynn Coulter, ARNP
• Counseling at the Hearth LLC

• Psychiatry Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.