| North Star Psychological Center | |
|
3255 Williams Blvd Sw Ste 2 Cedar Rapids IA 52404-1480 | |
| (319) 777-6187 | |
| Not Available |
| Full Name | North Star Psychological Center |
|---|---|
| Speciality | Counselor |
| Location | 3255 Williams Blvd Sw Ste 2, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Scott Eilers (CEO) |
| Authorized Official Contact | 3192462240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Psychological Center 4126 Brookside Dr Marion IA 52302-9327 Ph: (319) 777-6187 | North Star Psychological Center 3255 Williams Blvd Sw Ste 2 Cedar Rapids IA 52404-1480 Ph: (319) 777-6187 |
| NPI Number | 1457124646 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 7810346103 |
|---|---|
| Medicare Enrollment ID | O20231212002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457124646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Scott J Eilers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558621797 PECOS PAC ID: 2668769001 Enrollment ID: I20160928001447 |
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