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HEARTLAND AREA EDUCATION AENCY 11 NPI 1073666954


NPI Information

NPI: 1073666954
Provider Name: HEARTLAND AREA EDUCATION AENCY 11

Other Name: HEARTLAND AEA 11

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
6500 CORPORATE DRIVE
JOHNSTON, IA
ZIP 50131
Phone: (515) 270-9030
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HEARTLAND AREA EDUCATION AENCY 11 is a psychologist in Johnston, IA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. HEARTLAND AREA EDUCATION AENCY 11 NPI is 1073666954. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Heartland Aea 11.

The provider's business location address is:

6500 CORPORATE DRIVE
JOHNSTON, IA
ZIP 50131-603
Phone: (515) 270-9030
Fax: (515) 270-5383

The provider's authorized official is Randy Allisond .
The authorized official title is Director Of Special Education and has the following contact phone number (515) 270-0405.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistYes
21041S0200XSocial WorkerSchoolX
3163WS0200XRegistered NurseSchoolX
4224Z00000XOccupational Therapy AssistantX
52251P0200XPhysical TherapistPediatricsX
62255R0406XSpecialist/TechnologistRehabilitation, BlindX
7225XP0200XOccupational TherapistPediatricsX
8231H00000XAudiologistX
92355A2700XSpecialist/TechnologistAudiology AssistantX
10235Z00000XSpeech-Language PathologistX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10051110MEDICAIDIOWA
20279695MEDICAIDIOWA

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: 4/28/2024

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