| Associates For Behavioral Health | |
|
1510 Boyson Rd Hiawatha IA 52233-2310 | |
| (319) 396-1066 | |
| (319) 396-8779 |
| Full Name | Associates For Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 Boyson Rd, Hiawatha, Iowa |
| Authorized Official Name and Position | Thomas Kremer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3193961066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates For Behavioral Health 740 N 15th Ave Ste A Hiawatha IA 52233-2384 Ph: (319) 396-1066 | Associates For Behavioral Health 1510 Boyson Rd Hiawatha IA 52233-2310 Ph: (319) 396-1066 |
| NPI Number | 1811998859 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0446140222 |
|---|---|
| Medicare Enrollment ID | O20040316001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811998859 | NPI | - | NPPES |
| 10474 | Other | IA | BCBS |
| 0263897 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alan C Whitters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093778532 PECOS PAC ID: 6608840830 Enrollment ID: I20050711000850 |
| Provider Name | Jeffrey D Wilharm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982605762 PECOS PAC ID: 7012946858 Enrollment ID: I20050811000477 |
| Provider Name | Mark W Mittauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255322996 PECOS PAC ID: 4587730791 Enrollment ID: I20080911000248 |
| Provider Name | Jessica Lynn Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013142991 PECOS PAC ID: 6709930175 Enrollment ID: I20090819000595 |
| Provider Name | Ali Safdar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043211303 PECOS PAC ID: 5890824379 Enrollment ID: I20100520000884 |
| Provider Name | Dwight J Schroeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528047081 PECOS PAC ID: 9234103466 Enrollment ID: I20100527000535 |
| Provider Name | Karen L Penick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225020092 PECOS PAC ID: 8628108610 Enrollment ID: I20100618000208 |
| Provider Name | Trina Lynn Reiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144221490 PECOS PAC ID: 6305977737 Enrollment ID: I20100629000868 |
| Provider Name | Edgar Siguenza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962403220 PECOS PAC ID: 2668503822 Enrollment ID: I20100701000664 |
| Provider Name | Evans K Komen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003216839 PECOS PAC ID: 7911129432 Enrollment ID: I20141117000608 |
| Provider Name | Elizabeth Breen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245787142 PECOS PAC ID: 4981940103 Enrollment ID: I20190109001753 |
| Provider Name | Amy Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629617469 PECOS PAC ID: 1557799228 Enrollment ID: I20200311000645 |
| Provider Name | Wendy S Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215665930 PECOS PAC ID: 3173991395 Enrollment ID: I20221119000284 |
| Provider Name | Tamara K Lauritzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801546494 PECOS PAC ID: 5597135798 Enrollment ID: I20230104002417 |
| Provider Name | Devon R Steen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043808603 PECOS PAC ID: 0042685083 Enrollment ID: I20230405001501 |
| Provider Name | Bailey J Zaruba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053099051 PECOS PAC ID: 3870954738 Enrollment ID: I20230725003822 |
| Provider Name | Toni S Neta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134120405 PECOS PAC ID: 9133158967 Enrollment ID: I20231122000994 |
| Provider Name | Ingrid Conway |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104224583 PECOS PAC ID: 6204284672 Enrollment ID: I20231122002955 |
| Provider Name | John W Sondag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912125360 PECOS PAC ID: 1456454511 Enrollment ID: I20231128001386 |
| Provider Name | William Klima |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720454242 PECOS PAC ID: 1456701713 Enrollment ID: I20231228001969 |
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