Organization Active NPI

Allied Therapy P.C.

  • Group Psychotherapy Psychologist
  • Muscatine, IA
National Provider Identifier
1962516880
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
ALLIED THERAPY P.C.
Practice address
2925 Cedar St
Muscatine, IA 52761-2271
Phone
(319) 868-5724
Fax
(319) 868-5724
NPI assigned
Aug 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. James Yeltatzie, M.D.NPI 1821097197
Title
Owner
Phone
(319) 868-5724

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
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

2925 Cedar St
Muscatine, IA 52761-2271

Mailing address

PO Box 417
Morning Sun, IA 52640-0417
Phone (319) 868-5724

Other identifiers 1

IdentifierTypeStateIssuer
0070599MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Allied Therapies PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2925 Cedar St
Muscatine, IA 52761
Phone (319) 264-2222

Practitioners & affiliated clinicians

Practitioners 1

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962516880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "MORNING SUN",
            "state": "IA",
            "postal_code": "526400417",
            "telephone_number": "319-868-5724",
            "fax_number": "319-868-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CEDAR ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612271",
            "telephone_number": "319-868-5724",
            "fax_number": "319-868-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YELTATZIE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-868-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070599",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.