NPIMap

Organization Active NPI

North Central Iowa Mental Health Center,Inc

Doing business as UnityPoint Health-Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Adel, IA
National Provider Identifier
1760767032
Registry record updated Dec 10, 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
UnityPoint Health-Berryhill Center
Practice address
1919 Greene St
Adel, IA 50003-1636
Phone
(515) 993-4511
Fax
(515) 993-3951
NPI assigned
Oct 18, 2011
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 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 Primary

Addresses

Primary practice location

1919 Greene St
Adel, IA 50003-1636

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherIAWELLMARK BCBS
0159608MedicaidIA

Other names 1

  • 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": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1760767032",
    "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": "1919 GREENE ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031636",
            "telephone_number": "515-993-4511",
            "fax_number": "515-993-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH SYSTEMS, INC",
        "enumeration_date": "2011-10-18",
        "last_updated": "2018-12-10",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Health-Berryhill Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.