Eywa Health, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007236 Issued in IA

Legal business name

EYWA HEALTH, INC

Doing business as

Iowa Center for Psychological Health, Inc

Practice address

333 SW 9TH St
Suite J
Des Moines, IA 50309-4440

Phone

(515) 777-3075

Fax

(515) 777-1719

NPI assigned

Jan 30, 2013

Last updated

May 5, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY ACCESS & LIFE MANAGEMENT, INCAs reported in NPPES

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

Authorized official

Name

Gloria Tallulah Krause, LISWNPI 1669604278

Title

Director Outpatient Services

Phone

(515) 554-0878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IOWA CENTER FOR PSYCHOLOGICAL HEALTH, INC Doing business as

Part of

Community Access Life Mana

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Access & Life Management, Inc

  dba Calm

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1598158156
  NPPES parent name

Practitioners 1

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.

• Gloria T Krause, LISW

  • Social Worker
  • Des Moines, IA
  • NPI 1669604278
  Authorized official Same address or phone

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1336487016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PAINE ST SE STE J",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351003",
            "telephone_number": "515-554-0878",
            "fax_number": "515-777-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 9TH ST",
            "address_2": "SUITE J",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094440",
            "telephone_number": "515-777-3075",
            "fax_number": "515-777-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYWA HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACCESS & LIFE MANAGEMENT, INC",
        "enumeration_date": "2013-01-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "TALLULAH",
        "authorized_official_title_or_position": "DIRECTOR OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "515-554-0878",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600993023",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IOWA CENTER FOR PSYCHOLOGICAL HEALTH, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IOWA CENTER FOR PSYCHOLOGICAL HEALTH, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.