GOOD SHEPHERD GERIATRIC CENTER INC. NPI 1639243496

NPI Information

  • NPI: 1639243496
  • Provider Name: GOOD SHEPHERD GERIATRIC CENTER, INC.
  • Classification: Psychologist - 103TA0700X
  • Specialization: Adult Development & Aging
  • Entity Type: Organization
  • Address: 302 2ND ST NE
    MASON CITY, IA
    ZIP 50401
  • Phone: (641) 424-1740

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NPI Details

GOOD SHEPHERD GERIATRIC CENTER, INC. is an adult development and aging psychologist in Mason City, IA. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. GOOD SHEPHERD GERIATRIC CENTER, INC. NPI is 1639243496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 2ND ST NE
MASON CITY, IA
ZIP 50401-412
Phone: (641) 424-1740

The provider's authorized official is Anne Demaris .
The authorized official title is Bkpr and has the following contact phone number (641) 424-1740.

The enumeration date for this NPI number is 11/20/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & AgingYes

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
16106872MEDICAIDIOWA

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: 11/21/2025

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