Organization Active NPI

Systems Unlimited, Inc.

  • Community/Behavioral Health Agency
  • Iowa City, IA
National Provider Identifier
1366570673
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SYSTEMS UNLIMITED, INC.
Practice address
2533 Scott Boulevard SE
Iowa City, IA 52240
Phone
(319) 338-9212
NPI assigned
Feb 28, 2007
Organization subpart
Yes
Parent organization
SYSTEMS UNLIMITED, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Leslie Jorgensen Gavrila
Title
Family Therapist
Phone
(319) 338-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2533 Scott Boulevard SE
Iowa City, IA 52240

Mailing address

2533 Scott Boulevard SE
Iowa City, IA 52240

Other identifiers 1

IdentifierTypeStateIssuer
0742932MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Family Systems7 organizations share this tax ID, including this one
Part of
Family Systems

Other organizations with this tax ID 6

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1366570673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 SCOTT BOULEVARD SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 SCOTT BOULEVARD SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-338-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMS UNLIMITED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYSTEMS UNLIMITED, INC.",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN GAVRILA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "FAMILY THERAPIST",
        "authorized_official_telephone_number": "319-338-9212"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0742932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.