NPIMap

Organization Active NPI

North Central Iowa Mental Health Center Inc

Doing business as Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humboldt, IA
National Provider Identifier
1578980280
Registry record updated Mar 20, 2014
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
Berryhill Center
Practice address
21 Taft St N
Humboldt, IA 50548-1768
Phone
(515) 955-7171
Fax
(515) 573-7898
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITYOINT HEALHT-TRINITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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) 955-7171

Specialties & licenses 1

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

Addresses

Primary practice location

21 Taft St N
Humboldt, IA 50548-1768

Mailing address

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (515) 955-7171

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherIAWELLMARK
0159608MedicaidIA

Other names 1

  • BERRYHILL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Central Iowa Mental Health Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

720 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 570-8261

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1578980280",
    "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": "515-955-7171",
            "fax_number": "515-573-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAFT ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481768",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITYOINT HEALHT-TRINITY",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "MCHONE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-955-7171"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "07466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERRYHILL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.