| Capstone Behavioral Healthcare, Inc | |
|
1123 1st Ave E #200 Newton IA 50208-3981 | |
| (641) 792-4012 | |
| (641) 791-0697 |
| Full Name | Capstone Behavioral Healthcare, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1123 1st Ave E, Newton, Iowa |
| Authorized Official Name and Position | Renae Annette Northcutt (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 6417924012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capstone Behavioral Healthcare, Inc 1123 1st Ave E. #200 Newton IA 50208-3981 Ph: (641) 792-4012 | Capstone Behavioral Healthcare, Inc 1123 1st Ave E #200 Newton IA 50208-3981 Ph: (641) 792-4012 |
| NPI Number | 1174598908 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 0648169573 |
|---|---|
| Medicare Enrollment ID | O20040310001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174598908 | NPI | - | NPPES |
| 0022376 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Iowa) | Primary |
| Provider Name | Ara J Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619054335 PECOS PAC ID: 2365544681 Enrollment ID: I20070216000317 |
| Provider Name | Suzanne J Rozendaal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376615286 PECOS PAC ID: 0749332070 Enrollment ID: I20090717000462 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831409770 PECOS PAC ID: 6800065608 Enrollment ID: I20110812000171 |
| Provider Name | Jessica B Virzi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831547439 PECOS PAC ID: 6507150471 Enrollment ID: I20160816001156 |
| Provider Name | Kristi Howerton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124528526 PECOS PAC ID: 1254743859 Enrollment ID: I20201223000163 |
| Provider Name | Morgan Blom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356902787 PECOS PAC ID: 6709284862 Enrollment ID: I20211005001212 |
| Provider Name | Vanessa M Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861839631 PECOS PAC ID: 2264818806 Enrollment ID: I20221004003641 |
| Provider Name | Paige M Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417679168 PECOS PAC ID: 7113396201 Enrollment ID: I20221212002954 |
| Provider Name | Renae A Richtsmeier Northcutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760984942 PECOS PAC ID: 2769626266 Enrollment ID: I20230125003329 |
| Provider Name | Tiffany E Sumrall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730734187 PECOS PAC ID: 6002251402 Enrollment ID: I20240226000639 |
| Provider Name | Ryan J Emerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104064153 PECOS PAC ID: 8426493826 Enrollment ID: I20240226000709 |
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