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INNOVATIVE PSYCHIATRIC CARE PC
NPI 1306949896
Specialist in Des Moines, IA

Active since September 07, 2006
3900 INGERSOLL AVE, SUITE 108, DES MOINES, IA 50312(515) 279-6200(515) 279-4528 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Psychiatric Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PSYCHIATRIC CARE PC (NPI 1306949896) is a healthcare organization registered as a specialist in Des Moines, Iowa and active in the NPI registry since September 2006. The organization lists Loren A Olson, Owner, as its authorized official.

NPPES Registry Identity

NPI1306949896
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINNOVATIVE PSYCHIATRIC CARE PC
Location Address3900 INGERSOLL AVE, SUITE 108Des Moines, IA 50312-3534
Mailing Address3900 Ingersoll Ave, Suite 108Des Moines, IA 50312-3534 · (515) 279-6200 · Fax (515) 279-4528
Phone(515) 279-6200
Fax(515) 279-4528
Organization SubpartNo
Authorized OfficialLoren A OlsonOwner · (515) 279-6200
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1306949896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3900 INGERSOLL AVE, Des Moines, IA 50312
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Other Identifiers 2

Medicare PINI3968IA
Medicaid0249649IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD L JOENS L.I.S.W.
Social Worker (Clinical)
3900 INGERSOLL AVE, SUITE 108
DES MOINES, IA 50312
Polk County (515) 279-6200
CARRIE JOAN PEITZMEIER L.I.S.W, R.D., L.D.
Social Worker (Clinical)
3900 INGERSOLL AVE, SUITE 201
DES MOINES, IA 50312
Polk County (515) 255-2224
MICHAEL LEE HUSTON PH.D.
Psychologist
3900 INGERSOLL AVE, SUITE 108
DES MOINES, IA 50312
Polk County (515) 279-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Psychiatric Care PC's NPI number?

The NPI number for Innovative Psychiatric Care PC is 1306949896. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Innovative Psychiatric Care PC located?

Innovative Psychiatric Care PC is located at 3900 Ingersoll Ave Suite 108, Des Moines, IA 50312. The listed phone number is (515) 279-6200.

What is Innovative Psychiatric Care PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Innovative Psychiatric Care PC was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.