Organization Active NPI

Neurobehavioral Services of Iowa

  • Community/Behavioral Health Agency
  • Des Moines, IA
National Provider Identifier
1255929717
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEUROBEHAVIORAL SERVICES OF IOWA
Practice address
309 Court Ave Ste 829
Des Moines, IA 50309-2236
Phone
(402) 515-4874
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Mr. R. Justice Braimah, PHD
Title
President
Phone
(402) 515-4874

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

309 Court Ave Ste 829
Des Moines, IA 50309-2236

Mailing address

10306 Ellison Cir Ste 710
Omaha, NE 68134-1024
Phone (402) 515-4874

Other names 1

  • Neurobehavioral Services Of Iowa Other name

National Provider Directory

National Provider Directory

Locations

309 Court Ave
Ste 829
Des Moines, IA 50309
Phone (402) 515-4874

10306 Ellison Cir
Ste 710
Omaha, NE 68134

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1255929717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 ELLISON CIR STE 710",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341024",
            "telephone_number": "402-515-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COURT AVE STE 829",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092236",
            "telephone_number": "402-515-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL SERVICES OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "BRAIMAH",
        "authorized_official_first_name": "R. JUSTICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-515-4874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurobehavioral Services Of Iowa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.