NPIMap

Organization Active NPI

Berendzen Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1235871120
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BERENDZEN MENTAL HEALTH SERVICES, LLC
Practice address
6315 Chancellor Dr Ste 3
Cedar Falls, IA 50613-6919
Phone
(319) 281-0179
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Jenna Berebdzen
Title
Owner
Phone
(319) 281-0179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6315 Chancellor Dr Ste 3
Cedar Falls, IA 50613-6919

Mailing address

2300 Clay St
Cedar Falls, IA 50613-4044

National Provider Directory

National Provider Directory

Locations

506 W 1st St
Ste 2
Cedar Falls, IA 50613
Phone (319) 281-0179

6315 Chancellor Dr
Ste 3
Cedar Falls, IA 50613
Phone (319) 281-0179

Practitioners & affiliated clinicians

Practitioners 5

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1235871120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLAY ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506134044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 CHANCELLOR DR STE 3",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136919",
            "telephone_number": "319-281-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERENDZEN MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "BEREBDZEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-281-0179"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.