NPIMap

Organization Active NPI

North Central Iowa Mental Health Center, Inc

Doing business as Berryhill Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
National Provider Identifier
1871910588
Registry record updated Mar 20, 2014
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
Berryhill Center
Practice address
1762 Johnson Ave
Fort Dodge, IA 50501-8408
Phone
(515) 955-7171
Fax
(515) 573-7898
NPI assigned
Mar 20, 2014
Last updated
Mar 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITYPOINT HEALTH -TRINITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Authorized official

Name
Aaron McHone
Title
Executive Director
Phone
(515) 955-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1762 Johnson Ave
Fort Dodge, IA 50501-8408

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0159608MedicaidIA
07466OtherIAWELLMARK BCBS

Other names 1

  • BERRYHILL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Central Iowa Mental Health Center Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

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": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1871910588",
    "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": "1762 JOHNSON AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018408",
            "telephone_number": "515-955-7171",
            "fax_number": "515-573-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITYPOINT HEALTH -TRINITY",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "MCHONE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-955-7171"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07466",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERRYHILL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.