Organization 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
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.