FAMILY TREE ASSOCIATES, LLC
NPI 1336357557
Community/Behavioral Health in Waterloo, IA

NPI Status: Active since May 19, 2007

Contact Information

1125 W 4TH ST
WATERLOO, IA
ZIP 50702
Phone: (319) 287-5516
Fax: (319) 226-5260

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  • Organization
  • Community/Behavioral Health

About FAMILY TREE ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Family Tree Associates, Llc, a provider established in Waterloo, Iowa operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1336357557 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X with license number 29-07-019 (IA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Rita M. Spears Msw (Executive Officer)

NPI
1336357557
Provider Name
FAMILY TREE ASSOCIATES, LLC
Entity Type
Organization
Location Address
1125 W 4TH ST WATERLOO, IA 50702
Location Phone
(319) 287-5516
Location Fax
(319) 226-5260
Mailing Address
PO BOX 1947 WATERLOO, IA 50704
Mailing Phone
(319) 287-5516
Mailing Fax
(319) 226-5260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
29-07-019
License State
IA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. RITA M. SPEARS MSW

Authorized Official Title
EXECUTIVE OFFICER
Authorized Official Phone
(319) 269-4051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1011379MEDICAID (05)IA 
29-07-019OTHER (01)IARTS SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336357557
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23666514510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 5 + 1 + 4 + 5 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1336357557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780864850SEEDS FOR GROWTH
Organization
Community/Behavioral Health1125 W 4TH ST
WATERLOO, IA 50702
(319) 474-2741
1710212246 FRANCIS PETER COTE L.I.S.W.
Individual
Social Worker (Clinical)1125 W 4TH ST SUITE B
WATERLOO, IA 50702
(319) 833-1844
1831371319KUHN CHIROPRACTIC, PC
Organization
Chiropractor (Neurology)1125 W 4TH ST
WATERLOO, IA 50702
(319) 236-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336357557, enumerated in the NPI registry as an "organization" on May 19, 2007

The provider is located at 1125 W 4th St Waterloo, Ia 50702 and the phone number is (319) 287-5516

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.