| Cedar Valley Mental Health Center | |
|
111 10th St Sw Waverly IA 50677-2925 | |
| (319) 352-2064 | |
| (319) 352-2329 |
| Full Name | Cedar Valley Mental Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 111 10th St Sw, Waverly, Iowa |
| Authorized Official Name and Position | David Alan Becker (BUSINESS MANAGER) |
| Authorized Official Contact | 3192356571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Valley Mental Health Center 111 10th St Sw Waverly IA 50677-2925 Ph: (319) 352-2064 | Cedar Valley Mental Health Center 111 10th St Sw Waverly IA 50677-2925 Ph: (319) 352-2064 |
| NPI Number | 1114950979 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/12/2007 |
| Medicare PECOS PAC ID | 3779582796 |
|---|---|
| Medicare Enrollment ID | O20061220000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114950979 | NPI | - | NPPES |
| 05433 | Other | IA | BCBS |
| 0074625 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Raja M Akbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073547105 PECOS PAC ID: 6002802675 Enrollment ID: I20070124000418 |
| Provider Name | Darko Zdilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871527903 PECOS PAC ID: 7416034467 Enrollment ID: I20080402000027 |
| Provider Name | Connie L Popenhagen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669662854 PECOS PAC ID: 3678611258 Enrollment ID: I20091119000344 |
| Provider Name | Cyd Q Grafft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477633188 PECOS PAC ID: 2264565589 Enrollment ID: I20100805001109 |
| Provider Name | Polly M Primus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265674527 PECOS PAC ID: 4284851445 Enrollment ID: I20140812000350 |
| Provider Name | Jordan M Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700208832 PECOS PAC ID: 1355670886 Enrollment ID: I20190910000316 |
| Provider Name | Sarah E Panther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841612264 PECOS PAC ID: 8729318498 Enrollment ID: I20190923001672 |
| Provider Name | Valerie J Chesnut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609189976 PECOS PAC ID: 3870921406 Enrollment ID: I20200313002031 |
| Provider Name | Lacie M Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871105916 PECOS PAC ID: 1658799838 Enrollment ID: I20200921001714 |
| Provider Name | Andrea L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477142289 PECOS PAC ID: 5294149001 Enrollment ID: I20210205000785 |
| Provider Name | Carrie M O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558028852 PECOS PAC ID: 2668865122 Enrollment ID: I20220204000098 |
| Provider Name | Wendy Kay Kepford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780860296 PECOS PAC ID: 2668849035 Enrollment ID: I20221028000490 |
| Provider Name | Amber Reiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427453356 PECOS PAC ID: 6709250434 Enrollment ID: I20230321001716 |
| Provider Name | Laura Leadley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932656410 PECOS PAC ID: 1759730021 Enrollment ID: I20231212001938 |
| Provider Name | Lindsay Stack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659779528 PECOS PAC ID: 5193174357 Enrollment ID: I20231213001130 |
| Provider Name | Sara Nolta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295157329 PECOS PAC ID: 7315396413 Enrollment ID: I20231214002810 |
| Provider Name | John Scott Dickinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437222726 PECOS PAC ID: 7315396256 Enrollment ID: I20231218001555 |
| Provider Name | Amanda Joan Gesme |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023181393 PECOS PAC ID: 1557711173 Enrollment ID: I20231222001179 |
| Provider Name | Ekaradhika Lila Requena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619345543 PECOS PAC ID: 4284084757 Enrollment ID: I20231223000199 |
| Provider Name | Molly Barbara Hammen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396376414 PECOS PAC ID: 8729438221 Enrollment ID: I20231226000739 |
| Provider Name | Jennifer Jae Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902334725 PECOS PAC ID: 0446600811 Enrollment ID: I20231227001776 |
| Provider Name | Kelly Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538790530 PECOS PAC ID: 6406207281 Enrollment ID: I20240105001028 |
| Provider Name | Lois A Fink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053484246 PECOS PAC ID: 9931550779 Enrollment ID: I20240105003077 |
| Provider Name | Vanessa Lynn Chase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760190128 PECOS PAC ID: 7911358411 Enrollment ID: I20240109003489 |
| Provider Name | Alexandra Mae Calhoun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588436042 PECOS PAC ID: 0749625499 Enrollment ID: I20240304002485 |
Healthy Minds Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 118 1st St Sw, Waverly, IA 50677 Phone: 319-404-2956 | |
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