NPIMap

Organization Active NPI

Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Hazleton, IA
National Provider Identifier
1821234055
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1325 Issued in IA
Legal business name
BEHAVIORAL SERVICES LLC
Practice address
105 Main St N
Hazleton, IA 50641-7701
Phone
(319) 636-2100
Fax
(319) 636-2022
NPI assigned
Dec 17, 2008
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Ms. Kimberly Marie Gamm, MA, LBSW, ACADC
Title
Executive Director
Phone
(319) 636-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1325 IA Primary

Addresses

Primary practice location

105 Main St N
Hazleton, IA 50641-7701

Mailing address

105 Main St N
PO Box 74
Hazleton, IA 50641-7701
Phone (319) 636-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1821234055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST N",
            "address_2": "PO BOX 74",
            "city": "HAZLETON",
            "state": "IA",
            "postal_code": "506417701",
            "telephone_number": "319-636-2100",
            "fax_number": "319-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST N",
            "city": "HAZLETON",
            "state": "IA",
            "postal_code": "506417701",
            "telephone_number": "319-636-2100",
            "fax_number": "319-636-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "GAMM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-636-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LBSW, ACADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.