Wellsource
Organization Active NPI Psychologist · Mason City, IA
NPI 1992818249 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1992818249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- WELLSOURCE
- Practice address
- 235 S Eisenhower Avenue
Mason City, IA 50401 - Phone
- (641) 424-2075
- Fax
- (641) 424-9555
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew M Eastwood, MSW
- Title
- Executive Director
- Phone
- (641) 424-2075
Practitioners 39
-
Janice Kay Albright, LBSW
-
Cassandra Arenas, LMSW
-
Deborah Kay Blankenship, LMHC
-
Jill Diane Burkley, PSY D
-
Michael P Dobbin, PSYD
-
Kelli Jo Dorsey, RN
-
Randi Rae Gambell, LISW
-
Bradley David Hjelmeland, LISW IADC
-
Stephen A Holbrook, PSYD
-
Mark E Lassise, M.D.
-
Kristine Kathryn Leaman, B.A., R.N., C
-
Alexis Lea Lyman, BS
-
Crystal Marie Menken, PSY.D
-
Stacey Lee Moore, BSW
-
Rogerio Miranda Ramos, M.D.
-
Colleen Ann Sanft, BS RNC
-
Leah Jean Weber, LMHC
-
Abbie Gail White, RN ARNP
-
Mary Jean Witherall, LMSW
National Provider Directory
Locations
101 S Main St
Charles City, IA 50616
Phone (641) 424-2075
123 1st St NW
Hampton, IA 50441
Phone (641) 424-2075
235 S Eisenhower Ave
Mason City, IA 50401
Phone (515) 424-2075
1000 Central Ave
Northwood, IA 50459
Phone (641) 424-2075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Social Worker |
104100000X | |||
| Registered Nurse |
163W00000X | |||
| Psychiatry Physician |
2084P0800X |
Addresses
Primary practice location
235 S Eisenhower Avenue
Mason City, IA 50401
Mailing address
235 S Eisenhower Avenue
Mason City, IA 50401
Phone (641) 424-2075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00065243 | Medicaid | IA |
Other names
- Mental Health Center of North Iowa, Inc
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.