NPIMap

Organization Active NPI

Compass Clinical Associates PLLC

  • Social Worker
  • Urbandale, IA
National Provider Identifier
1295081941
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00063 Issued in IL
Legal business name
COMPASS CLINICAL ASSOCIATES PLLC
Practice address
2500 82ND Place
Urbandale, IA 50322
Phone
(515) 412-5112
Fax
(515) 412-5123
NPI assigned
Jul 31, 2012
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Mr. Bruce D. Buchanan, LISW
Title
Clinical Manager
Phone
(515) 412-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 00063 IL Primary

Addresses

Primary practice location

2500 82ND Place
Urbandale, IA 50322

Mailing address

2500 82ND Place
Urbandale, IA 50322
Phone (515) 412-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131121000188 IA Part B Supplier - Clinic/Group Practice 2062648017 Receives reassigned benefits from 41 practitioners
Practice locations: Urbandale, IA

National Provider Directory

National Provider Directory

Locations

3140 Plank Rd
Keokuk, IA 52632
Phone (319) 524-1800

2500 82nd Pl
Urbandale, IA 50322
Phone (515) 270-1344

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1295081941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 82ND PLACE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-412-5112",
            "fax_number": "515-412-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 82ND PLACE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-412-5112",
            "fax_number": "515-412-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CLINICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "515-412-5112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": "00063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.