NPIMap

Organization Active NPI

Good Shepherd Geriatric Center

  • Adult Development & Aging Psychologist
  • Mason City, IA
National Provider Identifier
1336327246
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
Legal business name
GOOD SHEPHERD GERIATRIC CENTER
Practice address
302 2ND St NE
Mason City, IA 50401-3412
Phone
(641) 424-1740
Fax
(641) 424-4260
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Anne Demaris
Title
BKPR
Phone
(641) 424-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TA0700X Primary

Addresses

Primary practice location

302 2ND St NE
Mason City, IA 50401-3412

Mailing address

302 2ND St NE
Mason City, IA 50401-3412
Phone (641) 424-1740

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Ctr Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1336327246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-424-1740",
            "fax_number": "641-424-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 2ND ST NE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013412",
            "telephone_number": "641-424-1740",
            "fax_number": "641-424-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "DEMARIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BKPR",
        "authorized_official_telephone_number": "641-424-1740"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.