Organization Active NPI

Golden Circle Behavioral Health

  • Community/Behavioral Health Agency
  • Des Moines, IA
National Provider Identifier
1669596938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NA Issued in IA
Legal business name
GOLDEN CIRCLE BEHAVIORAL HEALTH
Practice address
945 19TH St
Des Moines, IA 50314-1117
Phone
(515) 235-8822
Fax
(515) 241-0993
NPI assigned
Mar 19, 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
Mr. Christopher Sorensen
Title
Cfo
Phone
(515) 235-8822

Specialties & licenses 1

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

Addresses

Primary practice location

945 19TH St
Des Moines, IA 50314-1117

Mailing address

945 19TH St
Des Moines, IA 50314-1117
Phone (515) 235-8822

Other identifiers 1

IdentifierTypeStateIssuer
0082511MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669596938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 19TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141117",
            "telephone_number": "515-235-8822",
            "fax_number": "515-241-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 19TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141117",
            "telephone_number": "515-235-8822",
            "fax_number": "515-241-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CIRCLE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-235-8822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082511",
            "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.