Cedar Centre Psychiatric Group
NPI 1558338012ActiveOrganization· Psychiatry & Neurology, Psychiatry· Cedar Rapids, IA
Psychiatry & Neurology, Psychiatry in Cedar Rapids, Iowa, registered in NPPES in March 2006. The authorized official on file is Bryan Netolicky, M.D., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558338012 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2006 |
| Last updated in NPPES | Feb 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | IA |
| Counselor, Mental Health | 101YM0800X | — | IA |
| Psychologist | 103T00000X | — | IA |
| Psychologist, Counseling | 103TC1900X | — | IA |
| Social Worker, Clinical | 1041C0700X | — | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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