CEDAR CENTRE PSYCHIATRIC GROUP
NPI 1558338012
Psychiatry & Neurology - Psychiatry in Cedar Rapids, IA

Q: What is Cedar Centre Psychiatric Group's NPI number?

The NPI number for Cedar Centre Psychiatric Group is 1558338012. It was assigned to this organization in the NPPES registry on March 3, 2006.

Q: What is Cedar Centre Psychiatric Group's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since March 03, 2006

1730 1ST AVE NE, CEDAR RAPIDS, IA 52402(319) 365-3993(319) 364-0116 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cedar Centre Psychiatric Group NPPES

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

CEDAR CENTRE PSYCHIATRIC GROUP (NPI 1558338012) is a healthcare organization registered as a psychiatry in Cedar Rapids, Iowa and active in the NPI registry since March 2006. The organization lists Bryan Netolicky, Partner, as its authorized official.

NPPES Registry Identity

NPI1558338012

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameCEDAR CENTRE PSYCHIATRIC GROUP

Location Address1730 1ST AVE NECedar Rapids, IA 52402-5433

Mailing AddressPo Box 1408Cedar Rapids, IA 52406-1408 · (319) 365-3993 · Fax (319) 364-0116

Phone(319) 365-3993

Fax(319) 364-0116

Organization SubpartNo

Authorized OfficialBryan NetolickyPartner · (319) 365-3993

Enumeration DateMarch 3, 2006

Last NPPES UpdateFebruary 25, 2016

✔ NPI 1558338012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · CounselingTaxonomy 103TC1900X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

1730 1ST AVE NE, Cedar Rapids, IA 52402

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Other Identifiers 3

Medicare PIN17415IA

Medicaid0174151IA

Other17415IA · Wellmark Bc/bs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedar Centre Psychiatric Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Cedar Centre Psychiatric Group, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Psychiatry8

Clinical Psychologist2

Clinical Social Worker2

Clinicians, nearest first (12)

Christine Cork, PSY.D.

Clinical Psychologist

NPI 1306060108

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Jonathan Heinzman, MD

Psychiatry

NPI 1881154565

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Kija Weldon, M.D.

Psychiatry

NPI 1831419316

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Allyson Wheaton, MD

Psychiatry

NPI 1063491645

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Rebecca Wolfe, M.D.

Psychiatry

NPI 1215146055

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Ann Blake, LISW

Clinical Social Worker

NPI 1093842551

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Gregory Hotsenpiller, M.D.

Psychiatry

NPI 1275655458

1730 1ST AVE NE CEDAR CENTRE PSYCHIATRIC GROUP
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Jeniece Nott, M.D.

Psychiatry

NPI 1093941460

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOSSame address

Paul Sundell, PHD

Clinical Psychologist

NPI 1316914898

1730 1ST AVE NE
Cedar Rapids, IA 52402

(319) 365-3993

✔ PECOS✔ Accepts MedicareSame address

Nicole Strong, LISW

Clinical Social Worker

NPI 1760861892

1340 BLAIRS FERRY RD
Hiawatha, IA 52233

(319) 398-6694

✔ PECOS✔ Accepts Medicare3.8 mi

Bryan Netolicky, MD

Psychiatry

NPI 1255405338

1006 5TH ST STE 100
Coralville, IA 52241

(319) 354-5275

✔ PECOS✔ Accepts Medicare22 mi

Dorthea Wheeler, MD, PHD

Psychiatry

NPI 1043878705

5249 E TERRACE DR
Madison, WI 53718

(608) 251-4156

✔ PECOS✔ Accepts Medicare144 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cedar Centre Psychiatric Group's NPI number?

The NPI number for Cedar Centre Psychiatric Group is 1558338012. It was assigned to this organization in the NPPES registry on March 3, 2006.

Where is Cedar Centre Psychiatric Group located?

Cedar Centre Psychiatric Group is located at 1730 1st Ave NE, Cedar Rapids, IA 52402. The listed phone number is (319) 365-3993.

What is Cedar Centre Psychiatric Group's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cedar Centre Psychiatric Group enrolled in Medicare?

Yes. Cedar Centre Psychiatric Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Centre Psychiatric Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Cedar Centre Psychiatric Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (8), Clinical Psychologist (2) and Clinical Social Worker (2). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cedar Centre Psychiatric Group was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.