NPIMap

Organization Active NPI

Child Psychiatry Associates PC

  • Child & Adolescent Psychiatry Physician
  • West Des Moines, IA
National Provider Identifier
1750329314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
CHILD PSYCHIATRY ASSOCIATES PC
Practice address
939 Office Park Rd
Ste 200
West Des Moines, IA 50265-2505
Phone
(515) 288-5570
Fax
(515) 440-3388
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Kent E Kunze, MDNPI 1841220290
Title
President and MD
Phone
(515) 288-5570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

939 Office Park Rd
Ste 200
West Des Moines, IA 50265-2505

Mailing address

939 Office Park Rd
Ste 200
West Des Moines, IA 50265-2505
Phone (515) 288-5570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000806 IA Part B Supplier - Clinic/Group Practice 8921092412 Receives reassigned benefits from 6 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

939 Office Park Rd
Ste 200
West Des Moines, IA 50265
Phone (515) 288-5570

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750329314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD",
            "address_2": "STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652505",
            "telephone_number": "515-288-5570",
            "fax_number": "515-440-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD",
            "address_2": "STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652505",
            "telephone_number": "515-288-5570",
            "fax_number": "515-440-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PSYCHIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNZE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND MD",
        "authorized_official_telephone_number": "515-288-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West 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.
  • 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.