HILLCREST FAMILY SERVICES NPI 1326096116

NPI Information

NPI: 1326096116
Provider Name: HILLCREST FAMILY SERVICES
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2005 ASBURY RD
DUBUQUE, IA
ZIP 52001
Phone: (563) 583-7357
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HILLCREST FAMILY SERVICES is a child and adolescent psychiatry psychiatry neurology in Dubuque, IA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. HILLCREST FAMILY SERVICES NPI is 1326096116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2005 ASBURY RD
DUBUQUE, IA
ZIP 52001-042
Phone: (563) 583-7357
Fax: (563) 583-7026

The provider's authorized official is Gary L Gansemer .
The authorized official title is Ceo and has the following contact phone number (563) 583-7357.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 10/26/2007.

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	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	101YM0800X	Counselor	Mental Health	No
3	103TC0700X	Psychologist	Clinical	No
4	103TC1900X	Psychologist	Counseling	No
5	363LF0000X	Nurse Practitioner	Family	No
6	103TS0200X	Psychologist	School	No
7	104100000X	Social Worker		No
8	1041C0700X	Social Worker	Clinical	No
9	163W00000X	Registered Nurse		No
10	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
11	251B00000X	Case Management		No
12	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
13	323P00000X	Psychiatric Residential Treatment Facility		No
14	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
15	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	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	CK7931	MEDICARE PIN	IOWA
2	I5396	MEDICARE ID-TYPE UNSPECIFIED	IOWA	GROUP MEDICARE
3	0264705	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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