Center for Behavioral Health

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CENTER FOR BEHAVIORAL HEALTH

Practice address

36 W Park LN
Waterloo, IA 50701-5178

Phone

(319) 234-7481

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Carroll Roland

Title

PHD

Phone

(319) 233-3044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1992904700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2818",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W PARK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015178",
            "telephone_number": "319-234-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "319-233-3044"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.