Active NPI
Key Rehabilitation,Inc.
Doing business as GeroPsych, a division of Key Rehabilitation, Inc.
- Clinical Social Worker
- West Point, IA
National Provider Identifier
1487990677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KEY REHABILITATION,INC.
- Doing business as
- GeroPsych, a division of Key Rehabilitation, Inc.
- Practice address
- 607 6TH St
West Point, IA 52656-9502 - Phone
- (319) 837-6117
- NPI assigned
- Dec 17, 2012
- Last updated
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Irwin
- Title
- Ceo/President
- Phone
- (615) 896-6400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
607 6TH St
West Point, IA 52656-9502
Mailing address
1335 NW Broad St
Murfreesboro, TN 37129-4428
Phone (615) 896-6400
Other names 1
- GeroPsych, a division of Key Rehabilitation, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040504001486 | IA | Part B Supplier - Clinic/Group Practice | 9638086432 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mt Pleasant, IA; Sioux City, IA; West Point, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1487990677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 NW BROAD ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294428",
"telephone_number": "615-896-6400",
"fax_number": "888-355-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 6TH ST",
"city": "WEST POINT",
"state": "IA",
"postal_code": "526569502",
"telephone_number": "319-837-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY REHABILITATION,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-17",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "IRWIN",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "615-896-6400"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GeroPsych, a division of Key Rehabilitation, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GeroPsych, a division of Key Rehabilitation, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Point, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.