NPIMap

Organization Active NPI

Eyerly Ball Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
National Provider Identifier
1982657490
Registry record updated Aug 4, 2016
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
EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES
Practice address
1301 Center St
Des Moines, IA 50309-1004
Phone
(515) 243-5181
Fax
(515) 243-2760
NPI assigned
May 18, 2006
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Cynthia Steidl-BishopNPI 1386654382
Title
Ceo
Phone
(515) 235-8852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1301 Center St
Des Moines, IA 50309-1004

Mailing address

1301 Center St
Des Moines, IA 50309-1004
Phone (515) 243-5181

Other identifiers 2

IdentifierTypeStateIssuer
0074583MedicaidIA
07458OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040312000982 IA Part B Supplier - Clinic/Group Practice 1456240993 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: Winterset, IA; State Center, IA; Indianola, IA; Des Moines, IA; Boone, IA; Ames, IA; Adel, IA
O20241210003185 TX Part B Supplier - Clinic/Group Practice 1456240993 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyvale, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

1301 Pennsylvania Ave
Ste 312
Des Moines, IA 50316
Phone (515) 263-2412

1319 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 243-5181

945 19th St
Des Moines, IA 50314
Phone (515) 235-8822

1007 S Jefferson Way
Indianola, IA 50125
Phone (515) 961-1032

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1982657490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181",
            "fax_number": "515-243-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181",
            "fax_number": "515-243-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "STEIDL-BISHOP",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-235-8852"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074583",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07458",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.