NPIMap

Organization Active NPI

North Central Iowa Mental Health Center, Inc

Doing business as Berryhill Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Humboldt, IA
National Provider Identifier
1629354063
Registry record updated Nov 30, 2018
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 for Mental Health
UnityPoint Health-Berryhill Center
Practice address
800 13TH St S
Humboldt, IA 50548-2439
Phone
(515) 332-4104
Fax
(515) 573-7898
NPI assigned
Oct 31, 2011
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEATLH SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Aaron D McHone
Title
Executive Director
Phone
(800) 482-8305

Specialties & licenses 1

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

Addresses

Primary practice location

800 13TH St S
Humboldt, IA 50548-2439

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0159608MedicaidIA
07466OtherWELLMARK BC/BS

Other names 2

  • Berryhill Center for Mental Health Doing business as
  • UnityPoint Health-Berryhill Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000923 IA Part B Supplier - Clinic/Group Practice 1153210232 Receives reassigned benefits from 24 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake City, IA; Webster City, IA; Lake View, IA; Manson, IA; Morning Sun, IA; Newell, IA; Pocahontas, IA; Pomeroy, IA…

Other NPIs on the same Medicare enrollment 27

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

View all 27

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1629354063",
    "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": "515-573-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 13TH ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482439",
            "telephone_number": "515-332-4104",
            "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 HEATLH SYSTEMS, INC",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MCHONE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "800-482-8305"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "07466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryhill Center for Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UnityPoint Health-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 Nov 30, 2018; 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.