TANAGER PLACE NPI 1023147089

Community/Behavioral Health in Cedar Rapids, IA

About TANAGER PLACE

Tanager Place is a provider in Cedar Rapids, IA. The NPI number assigned to this provider is 1023147089. The practitioner's primary taxonomy code is Community/Behavioral Health (251S00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI

1023147089

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTANAGER PLACE
Provider Location Address2309 C ST SW CEDAR RAPIDS, IA 52404 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2309 C ST SW CEDAR RAPIDS, IA 52404 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code251S00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

TANAGER PLACE
2309 C ST SW
CEDAR RAPIDS, IA
ZIP 52404
Phone: (319) 365-9164
Fax: (319) 365-6411

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Mailing Address

TANAGER PLACE
2309 C ST SW
CEDAR RAPIDS, IA
ZIP 52404
Phone: (319) 365-9164
Fax: (319) 365-6411

Authorized Official

Authorized Official NameMR. JEFF HUMISTON Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleC.F.O.
Authorized Official Phone(319) 365-9165

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0470682MEDICAID (05)IA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043476583 LAURA M UNDERBERG BA
Individual
Social Worker2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
1053467423TANAGER PLACE
Organization
Community/Behavioral Health2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1114083474TANAGER PLACE
Organization
Psychiatric Residential Treatment Facility2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1124453345 AMBER JP COOK
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
1184066169 ABIGAIL L SEYFER LMSW
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
1215060447 COURTNEY DEE SAND
Individual
Student in an Organized Health Care Education/Training Program2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-6411
1265878326 CANDICE A MAIER LMFT
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
1396945333 STACIE MITCHELL LMHC
Individual
Counselor (Mental Health)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1407984529MR. JOSEPH OLSEN LISW
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1417176587MRS. JUDITH PRICE LISW
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1508992504TANAGER PLACE
Organization
Voluntary or Charitable2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1568525350MR. CHARLES PATRICK KARLAN LISW
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 364-9164
1598965527DR. LINDSEY ANDREW PSY.D.
Individual
Psychologist (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1619279742MRS. BRIANNE RANAE GUINN L.M.S.W.
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1689834087MS. TASHA N WIELE L.M.S.W.
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1699832477TANAGER PLACE
Organization
Intermediate Care Facility, Mentally Retarded2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1710219191 JOY MARIE ASHBAUGH LMHC
Individual
Counselor (Mental Health)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4512
1841353604MRS. TERESA MARIE GRIDER-BAKER LISW
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 365-9164
1942591300MRS. LANNY BURNS TYGRETT L.M.S.W.
Individual
Social Worker (Clinical)2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
1982969051 CASSANDRA J COLLINS LMSW
Individual
Social Worker2309 C ST SW
CEDAR RAPIDS, IA 52404
(319) 286-4545
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