Healthcare Provider Details

I. General information

NPI: 1457124646
Provider Name (Legal Business Name): EILERS PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 COUNCIL ST NE UNIT B
CEDAR RAPIDS IA
52402-5827
US

IV. Provider business mailing address

4126 BROOKSIDE DR
MARION IA
52302-9327
US

V. Phone/Fax

Practice location:
  • Phone: 319-246-2240
  • Fax:
Mailing address:
  • Phone: 319-777-6187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT EILERS
Title or Position: CEO
Credential: PSYD, LP
Phone: 319-246-2240