GOSHORN PSYCH-SERVICES PLLC NPI 1477857704

NPI Information

NPI: 1477857704
Provider Name: GOSHORN PSYCH-SERVICES PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
410 E ROBINSON ST
SUITE A-2
KNOXVILLE, IA
ZIP 50138
Phone: (641) 205-3100
Get Directions

GOSHORN PSYCH-SERVICES PLLC is a psychiatric/mental health nurse practitioner in Knoxville, IA. GOSHORN PSYCH-SERVICES PLLC NPI is 1477857704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 E ROBINSON ST
SUITE A-2
KNOXVILLE, IA
ZIP 50138-058
Phone: (641) 205-3100
Fax: (641) 205-3102

The provider's authorized official is Cindy Renee Goshorn .
The authorized official title is Owner and has the following contact phone number (641) 205-3100.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 5/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	G-096742	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1255365631	MEDICAID	IOWA
2	1255365631	OTHER	IOWA	WELLMARK BCBS
3	P01035746	OTHER	IOWA	RR MEDICARE
4	IB2056001	MEDICARE PIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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