NPIMap

Organization Active NPI

Eyerly Ball Community Mental Health Services

  • Community/Behavioral Health Agency
  • Des Moines, IA
National Provider Identifier
1639200033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Practice address
1301 Center St
Des Moines, IA 50309-1004
Phone
(515) 243-5181
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence J Hejtmanek Sr., LISW
Title
Director of Professional Services
Phone
(515) 243-5181

Specialties & licenses 1

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

Addresses

Primary practice location

1301 Center St
Des Moines, IA 50309-1004

Mailing address

1301 Center St
Des Moines, IA 50309-1004
Phone (515) 243-5181

Other identifiers 1

IdentifierTypeStateIssuer
0227116MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Eyerly Ball Community Mental Health Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639200033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEJTMANEK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "515-243-5181",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227116",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.