Crittenton Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CRITTENTON CENTER

Practice address

600 4TH St Ste 100
Sioux City, IA 51101-1745

Phone

(712) 255-4321

Fax

(712) 252-4743

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2023By 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. Beau Sudtelgte

Title

Chief Financial Officer

Phone

(712) 255-4321

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Crittenton Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Crittenton Center

  • Public Health or Welfare Agency
  • Sioux City, IA
  • NPI 1215070438
  NPD tax ID
• Crittenton Center

  • Public Health or Welfare Agency
  • Sioux City, IA
  • NPI 1295818334
  NPD tax ID
• Crittenton Center

  • Community/Behavioral Health Agency
  • Sioux City, IA
  • NPI 1861276123
  NPD tax ID

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1205915261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011745",
            "telephone_number": "712-255-4321",
            "fax_number": "712-252-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST STE 100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011745",
            "telephone_number": "712-255-4321",
            "fax_number": "712-252-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENTON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SUDTELGTE",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-255-4321",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233551",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Charece Crawford, PHD
• CRC Recovery, Inc. (Sioux City Comprehensive Treatment Center)
• Creative Growth Counseling PLLC
• Jennifer Lynn Crew, LISW
• Michelle Joy Criss, SBD
• Crittenton Center
• Crittenton Center
• Crittenton Center
• Crittenton Health Services
• Teresa Barajas Croft, PA-C

• Case Management Agency in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Case Management Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.