Provider Demographics
NPI:1104457126
Name:ACHIEVE TMS CENTERS CENTRAL PC
Entity type:Organization
Organization Name:ACHIEVE TMS CENTERS CENTRAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-711-4867
Mailing Address - Street 1:1517 N. ANKENY BLVD.
Mailing Address - Street 2:SUITE E
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023
Mailing Address - Country:US
Mailing Address - Phone:413-341-2401
Mailing Address - Fax:413-341-5954
Practice Address - Street 1:1517 N ANKENY BLVD STE F
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4120
Practice Address - Country:US
Practice Address - Phone:855-711-4867
Practice Address - Fax:413-341-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty