| Southern Iowa Mental Health Center | |
|
1527 Albia Rd Ottumwa IA 52501-3907 | |
| (641) 682-8772 | |
| (641) 682-1924 |
| Full Name | Southern Iowa Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1527 Albia Rd, Ottumwa, Iowa |
| Authorized Official Name and Position | Christina Schark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6416828772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Iowa Mental Health Center 1527 Albia Rd Ottumwa IA 52501-3907 Ph: (641) 682-8772 | Southern Iowa Mental Health Center 1527 Albia Rd Ottumwa IA 52501-3907 Ph: (641) 682-8772 |
| NPI Number | 1659353670 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 12/10/2021 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 6002809647 |
|---|---|
| Medicare Enrollment ID | O20040407001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659353670 | NPI | - | NPPES |
| 1653953670 | Medicaid | IA | |
| 1659353670 | Other | BLUE CROSS & BLUE SHIELD OF IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Darissa D Chance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265425805 PECOS PAC ID: 8628981230 Enrollment ID: I20031110000630 |
| Provider Name | Jimmy R Mascaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104998251 PECOS PAC ID: 0042210973 Enrollment ID: I20061228000077 |
| Provider Name | Hilda M Mascaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427215110 PECOS PAC ID: 4284886003 Enrollment ID: I20130115000251 |
| Provider Name | April K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225339088 PECOS PAC ID: 8921234238 Enrollment ID: I20131114001764 |
| Provider Name | Rhonda J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154793446 PECOS PAC ID: 7517226350 Enrollment ID: I20180124000505 |
| Provider Name | Shoshannah N Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871944009 PECOS PAC ID: 1850643362 Enrollment ID: I20181011000909 |
| Provider Name | Natasha Ann Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659904399 PECOS PAC ID: 9032402086 Enrollment ID: I20200916001373 |
| Provider Name | Jennifer R Stromgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525054 PECOS PAC ID: 0941614358 Enrollment ID: I20210126002660 |
| Provider Name | Mendy M Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205588191 PECOS PAC ID: 5496148421 Enrollment ID: I20220215001170 |
| Provider Name | Sydney A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326665373 PECOS PAC ID: 1254717549 Enrollment ID: I20221011001015 |
| Provider Name | Kirby Rowl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679130967 PECOS PAC ID: 4880052513 Enrollment ID: I20230628000135 |
| Provider Name | Allison D Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700353083 PECOS PAC ID: 3577911379 Enrollment ID: I20231204002119 |
| Provider Name | Jacoby Deshler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518618453 PECOS PAC ID: 5799122149 Enrollment ID: I20240321002006 |
| Provider Name | Katy Roxane Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639909583 PECOS PAC ID: 0840730701 Enrollment ID: I20250113001577 |
Psychology Services Of Ottumwa Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 226 W Main St Ste 208, Ottumwa, IA 52501 Phone: 479-530-7003 | |
Discovery Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 W 2nd St Unit 1117, Ottumwa, IA 52501 Phone: 641-243-5952 Fax: 641-206-4847 | |
Alexander Enterprises Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Jefferson St, Ottumwa, IA 52501 Phone: 641-682-5437 | |
Southern Iowa Economic Development Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W. Main St, Ottumwa, IA 52501 Phone: 641-683-6747 Fax: 641-683-6317 | |
Southern Iowa Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Albia Rd, Ottumwa, IA 52501 Phone: 641-682-8772 Fax: 641-682-1924 | |
First Resources Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-1302 Fax: 641-683-1309 | |
Ottumwa Psychiatric Clinic Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 N Van Buren Ave, Suite 2, Ottumwa, IA 52501 Phone: 641-684-7744 Fax: 641-684-7700 |