Cedar Centre Psychiatric Group
LBN: Cedar Centre Psychiatric Group
Cedar Centre Psychiatric Group is an health care organization with primary practice located at 1730 1St Ave Ne , Cedar Rapids IA 52402-5433. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Cedar Centre Psychiatric Group can be contacted via phone (319) 365-3993, or through Netolicky, Bryan via phone (319) 365-3993.
Contact Information
Primary practice address
1730 1St Ave Ne
Cedar Rapids IA 52402-5433
Phone: (319) 365-3993
Fax: (319) 364-0116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Iowa | |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Iowa | |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Iowa | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Iowa | |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Iowa |
Profile Details
| NPI number | 1558338012 |
|---|---|
| LBN Legal business name | Cedar Centre Psychiatric Group |
| DBA Doing business as | |
| Authorized official | Netolicky, Bryan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Feb 25th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558338012 | NPPES |
| Iowa | MEDICAID | 0174151 | |
| Iowa | Other | 17415 |
Popular Providers
-
Millcreek Community Hospital
5515 Peach St , Erie PA 16509-2603 -
Franklin Medical Group, Pc
56 Franklin St , Waterbury CT 06706-1221 -
County Of Dunn
3001 Us Highway 12 E Ste 160 , Menomonie WI 54751-3045 -
Integrated Med/Psych Resources, P.C.
701 10Th St Se , Cedar Rapids IA 52403-1251 -
Mercy Physician Associates,Inc.
610 8Th St Se , Cedar Rapids IA 52401-2143 -
Park View Psychiatric Services, Psc
510 Spring St , Jeffersonville IN 47130-3554 -
Mgmc Llc
3800 Reservoir Rd Nw , Washington DC 20007-2113 -
Cedar Rapids Psychiatry
3705 River Ridge Dr Ne , Cedar Rapids IA 52402-7596