Organization Active NPI

Central Iowa Therapy Associates Inc

  • Marriage & Family Therapist
  • Boone, IA
National Provider Identifier
1861591901
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
156 Issued in IA
Legal business name
CENTRAL IOWA THERAPY ASSOCIATES INC
Practice address
906 9TH St
Ste. 218
Boone, IA 50036-2760
Phone
(515) 291-8889
Fax
(515) 292-7698
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Michael P McClain, PHD
Title
Director
Phone
(515) 291-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 156 IA Primary

Addresses

Primary practice location

906 9TH St
Ste. 218
Boone, IA 50036-2760

Mailing address

6310 Prairie Ridge Drive
Ames, IA 50014
Phone (515) 291-8889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1861591901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 PRAIRIE RIDGE DRIVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50014",
            "telephone_number": "515-291-8889",
            "fax_number": "515-292-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 9TH ST",
            "address_2": "STE. 218",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362760",
            "telephone_number": "515-291-8889",
            "fax_number": "515-292-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-291-8889",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.