| Achieve Tms Centers Central Pc | |
|
1517 N Ankeny Blvd Ste F Ankeny IA 50023-4120 | |
| (413) 341-2401 | |
| (413) 341-5954 |
| Full Name | Achieve Tms Centers Central Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1517 N Ankeny Blvd Ste F, Ankeny, Iowa |
| Authorized Official Name and Position | Brian W. Smith (CEO) |
| Authorized Official Contact | 4169159100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Tms Centers Central Pc 1517 N. Ankeny Blvd. Suite E Ankeny IA 50023 Ph: (413) 341-2401 | Achieve Tms Centers Central Pc 1517 N Ankeny Blvd Ste F Ankeny IA 50023-4120 Ph: (413) 341-2401 |
| NPI Number | 1104457126 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Medicare PECOS PAC ID | 8224451901 |
|---|---|
| Medicare Enrollment ID | O20200714001599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104457126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Susan K Latcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437306818 PECOS PAC ID: 8921017518 Enrollment ID: I20080910000238 |
| Provider Name | Erin V Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679669832 PECOS PAC ID: 5193823532 Enrollment ID: I20091019000408 |
| Provider Name | Nesrin K Abu Ata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528297660 PECOS PAC ID: 0446493662 Enrollment ID: I20140904001574 |
| Provider Name | Ahmar Mannan Butt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275871485 PECOS PAC ID: 7911135348 Enrollment ID: I20150604002388 |
| Provider Name | Siobhan Oriaifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881217883 PECOS PAC ID: 7315316866 Enrollment ID: I20221206001235 |
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