Ancera Psychology Associates PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

01005 Issued in IA

Legal business name

ANCERA PSYCHOLOGY ASSOCIATES PC

Practice address

1101 5TH St
Suite 102
Coralville, IA 52241-2903

Phone

(319) 351-9777

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amy Carroll Collins, PH.D.NPI 1710067301

Title

Psychologist

Phone

(319) 351-9777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Carroll Collins, PHD

  • Counseling Psychologist
  • Coralville, IA
  • NPI 1710067301
  NPD Authorized official
• Alison K Milburn, PHD

  • Counseling Psychologist
  • Iowa City, IA
  • NPI 1831156173
  Medicare reassignment

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1326306770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 5TH ST",
            "address_2": "SUITE 102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412903",
            "telephone_number": "319-351-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 5TH ST",
            "address_2": "SUITE 102",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412903",
            "telephone_number": "319-351-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCERA PSYCHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-351-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "01005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alli Center LLC
• Vidya Murty Aluri, M.D.
• Amanda Goslin LMFT, LLC
• Amethyst Mental Health
• Hailey Amro, LMSW
• Alexander Anderson, DC
• Brieanna Anderson, LMSW
• Kelsey Anderson, LISW, LCSW
• Kimberly Kay Anderson, LISW
• Kahlil Jihad Andrews, MD

• Counseling Psychologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Counseling Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.