Mental Health Institute

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

10PM35 Issued in IA

Legal business name

MENTAL HEALTH INSTITUTE

Practice address

2277 Iowa Ave
Independence, IA 50644-9106

Phone

(319) 334-2583

Fax

(319) 334-5252

NPI assigned

Oct 25, 2006

Organization subpart

Yes

Parent organization

MENTAL HEALTH INSTITUTEAs reported in NPPES

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

Authorized official

Name

Dr. Bhasker Dave, MD

Title

Superintendant

Phone

(319) 334-2583

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IMHI-PMIC Doing business as

Tax ID family

Mental Health Institute2 organizations share this tax ID, including this one

Part of

Mental Health Institute

Other organizations with this tax ID 1

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

• Mental Health Institute

  • Psychiatric Hospital
  • Independence, IA
  • NPI 1013066430
  NPD tax ID

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1205911765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 IOWA AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449106",
            "telephone_number": "319-334-2583",
            "fax_number": "319-334-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 IOWA AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449106",
            "telephone_number": "319-334-2583",
            "fax_number": "319-334-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH INSTITUTE",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "BHASKER",
        "authorized_official_title_or_position": "SUPERINTENDANT",
        "authorized_official_telephone_number": "319-334-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "IA",
            "license": "10PM35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010108",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMHI-PMIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Graham McMillan, DDS
• Kimberly Meader, MPT
• Medical Associates of Independence
• Mental Health Institute
• Mental Health Institute
• Mental Health Institute
• Lisa Mestad, D.C.
• Travis Mestad, D.C.
• Diane Meyer
• Millennium Rehab & Consulting, Inc.

• Psychiatric Residential Treatment Facility in Independence, IA
• Providers in Independence, IA by specialty
• Psychiatric Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.