NPI 1770922437 · live from the CMS NPI Registry
Alegent Creighton Health
Psychiatry & Neurology, Psychiatry in Council Bluffs, IA. National Provider Identifier 1770922437, active.
NPI record
| NPI | 1770922437 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 800 Mercy Dr, Council Bluffs, IA 51503 |
| Practice phone | 712-328-2609 |
| Mailing address | 12809 W Dodge Road, Omaha, NE 68154 |
| Enumerated | June 17, 2013 |
| Last updated | October 30, 2020 |
| Authorized official | Keith Jankuski, Coo |
| Other names | Chi Health Psychiatric Associates |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist | 103T00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Registered Nurse | 163W00000X | — |
| Counselor | 101Y00000X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Nurse Practitioner | 363L00000X | — |
| Clinical Nurse Specialist | 364S00000X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.