MHC Child Protection

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

MHC CHILD PROTECTION

Practice address

801 5TH St
Sioux City, IA 51101-1394

Phone

(712) 279-2548

NPI assigned

Jan 12, 2006

Last updated

Aug 22, 2020By 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

Mr. Ronald J Roberson

Title

Cfo

Phone

(712) 279-5850

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316926983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1463",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511021463",
            "telephone_number": "712-279-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011394",
            "telephone_number": "712-279-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHC CHILD PROTECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-279-5850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "29085",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290858",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Meyer, DNP, PMHNP-BC
• Megan Lynn Meyer, ARNP
• Meylor Therapy Services, LLC
• Clifford J Meylor, DC
• MHC Anesthesia Services
• Michael P Baker Dba Associates for Psycholoigcal & Therapy Services
• Michael Wadzinski, PC (Wadzinski Eye Clinic PC)
• John Charles Michalak, M.D.
• Mid Step Services
• Mid-Step Services, Inc. (Park View Homes)

• Clinical Child & Adolescent Psychologist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Clinical Child & Adolescent Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.