OrganizationActive
Cedar Centre Psychiatric Group
NPI 1558338012 · Psychiatry Physician · Cedar Rapids, IA
Provider details
- NPI number
- 1558338012
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Netolicky, Partner(319) 365-3993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1730 1st Ave Ne
Cedar Rapids, IA 52402-5433
Phone: (319) 365-3993
Fax: (319) 364-0116
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1408
Cedar Rapids, IA 52406-1408
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2016-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.