Organization Active NPI

Mental Health Institute

Doing business as Imhi-Pmic

  • Psychiatric Residential Treatment Facility
  • Independence, IA
National Provider Identifier
1205911765
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
10PM35 Issued in IA
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, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MENTAL HEALTH INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Bhasker Dave, MDNPI 1679684641
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
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.

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.

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.

Verify at the official NPI Registry.