Active NPI
Mental Health Institute
Doing business as Imhi-Pmic
- Psychiatric Residential Treatment Facility
- Independence, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 10PM35
- Legal business name
- MENTAL HEALTH INSTITUTE
- Doing business as
- Imhi-Pmic
- Practice address
- 2277 Iowa Ave
Independence, IA 50644-9106 - Phone
- (319) 334-2583
- Fax
- (319) 334-5252
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 4, 2007
- Organization subpart
- Yes
- Parent organization
- MENTAL HEALTH INSTITUTE
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 10PM35 | IA | Primary |
Addresses
Primary practice location
2277 Iowa Ave
Independence, IA 50644-9106
Mailing address
2277 Iowa Ave
Independence, IA 50644-9106
Phone (319) 334-2583
Other names 1
- IMHI-PMIC
National Provider Directory
National Provider Directory- Tax ID family
- Mental Health Institute
- 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.
-
- Psychiatric Hospital
- Independence, IA
- NPI 1013066430
Practitioners & affiliated clinicians
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.
-
- Psychiatry Physician
- Independence, IA
- NPI 1679684641
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IMHI-PMIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, IA
Sources for this page
- 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.