Provider Demographics
NPI:1457124646
Name:EILERS PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:EILERS PSYCHOLOGICAL SERVICES
Other - Org Name:NORTH STAR PSYCHOLOGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:EILERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:319-246-2240
Mailing Address - Street 1:4126 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-9327
Mailing Address - Country:US
Mailing Address - Phone:319-777-6187
Mailing Address - Fax:
Practice Address - Street 1:3255 WILLIAMS BLVD SW STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1480
Practice Address - Country:US
Practice Address - Phone:319-777-6187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty