| Northeast Iowa Behavioral Health, Inc. | |
|
905 Montgomery St Decorah IA 52101-2325 | |
| (563) 382-3649 | |
| (563) 382-8183 |
| Full Name | Northeast Iowa Behavioral Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 Montgomery St, Decorah, Iowa |
| Authorized Official Name and Position | Marcia Oltrogge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5633823649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Iowa Behavioral Health, Inc. Po Box 349 905 Montgomery St. Decorah IA 52101-0349 Ph: (563) 382-3649 | Northeast Iowa Behavioral Health, Inc. 905 Montgomery St Decorah IA 52101-2325 Ph: (563) 382-3649 |
| NPI Number | 1710933445 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 1355230475 |
|---|---|
| Medicare Enrollment ID | O20040315000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710933445 | NPI | - | NPPES |
| 0074559 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | NONE (Iowa) | Primary |
| Provider Name | William Bernard Deutsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609179787 PECOS PAC ID: 8426210758 Enrollment ID: I20120503000324 |
| Provider Name | Christel J Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952689523 PECOS PAC ID: 6507037504 Enrollment ID: I20130122000568 |
| Provider Name | Kovilparambil Antony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376677138 PECOS PAC ID: 7113910266 Enrollment ID: I20140630001733 |
| Provider Name | Chitchawal Sahatevasukont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053661074 PECOS PAC ID: 9436395944 Enrollment ID: I20140725001915 |
| Provider Name | Laura J Zielinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801148366 PECOS PAC ID: 8729212477 Enrollment ID: I20210628000965 |
| Provider Name | Kathryn Quinn Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356787873 PECOS PAC ID: 7012142953 Enrollment ID: I20210907000129 |
| Provider Name | Erin Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164980462 PECOS PAC ID: 0345634101 Enrollment ID: I20220222001396 |
| Provider Name | Margaret A Throckmorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372790 PECOS PAC ID: 3072859511 Enrollment ID: I20220707003928 |
| Provider Name | Elizabeth Anne Mcerlean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942760137 PECOS PAC ID: 0042636557 Enrollment ID: I20230201000466 |
| Provider Name | Megan Andera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083225130 PECOS PAC ID: 1759746258 Enrollment ID: I20230506000224 |
| Provider Name | Matthew Homstad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134574064 PECOS PAC ID: 1658729710 Enrollment ID: I20231129003280 |
| Provider Name | Nicole Brevig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659938165 PECOS PAC ID: 8022466069 Enrollment ID: I20231130003031 |
| Provider Name | Kendrah Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427456581 PECOS PAC ID: 1254780562 Enrollment ID: I20231212003352 |
| Provider Name | Adam Elwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376109132 PECOS PAC ID: 2769832633 Enrollment ID: I20231219002694 |
Therapy Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 W Main St, Decorah, IA 52101 Phone: 563-382-2662 Fax: 563-382-2662 | |
Margaret M Hammes Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 W Main St, Decorah, IA 52101 Phone: 563-387-7433 | |
Heron Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Sunrise Blvd, Decorah, IA 52101 Phone: 563-419-1124 Fax: 563-387-2303 | |
Restorative Therapy & Psychiatric Care, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Paine St, Decorah, IA 52101 Phone: 563-379-8969 | |
Choice Employment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Decorah Ave, Decorah, IA 52101 Phone: 563-419-8278 | |
Lighthouse Professional Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1111 Paine St, Suite D, Decorah, IA 52101 Phone: 563-382-1900 Fax: 563-382-1777 |