Organization Active NPI

North Central Iowa Mental Health Center Inc

Doing business as UnityPoint Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colleyville, TX
National Provider Identifier
1336770460
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
Doing business as
UnityPoint Health
Practice address
5813 St Andrews CT
Colleyville, TX 76034-1267
Phone
(800) 482-8305
Fax
(515) 573-7898
NPI assigned
Jan 28, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH SYSTESMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Aaron McHone
Title
Executive Director
Phone
(515) 574-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5813 St Andrews CT
Colleyville, TX 76034-1267

Mailing address

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305

Other names 1

  • UnityPoint Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.unitypoint.org/fortdodge/berryhill Other NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226000251 TX Part B Supplier - Clinic/Group Practice 1153210232 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colleyville, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1336770460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305",
            "fax_number": "515-573-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 ST ANDREWS CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341267",
            "telephone_number": "800-482-8305",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH SYSTESM",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "MCHONE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-574-8380"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.unitypoint.org/fortdodge/berryhill",
            "affiliation": "Y",
            "endpointDescription": "website to leave message",
            "affiliationName": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "scheduling information for provider to contact you",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5813 St Andrews Ct",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760341267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UnityPoint Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.