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:
Map and Directions
Authorized official contact:
Name: Netolicky, Bryan Doctor of Medicine (MD)
Phone: (319) 365-3993

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558338012 NPPES
Iowa MEDICAID 0174151
Iowa Other 17415

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