Provider Demographics
NPI:1023341385
Name:BARCLAY & ASSOCIATES, P.C.
Entity type:Organization
Organization Name:BARCLAY & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BARCLAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-292-3023
Mailing Address - Street 1:1525 AIRPORT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8231
Mailing Address - Country:US
Mailing Address - Phone:515-292-3023
Mailing Address - Fax:515-292-3053
Practice Address - Street 1:1525 AIRPORT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8231
Practice Address - Country:US
Practice Address - Phone:515-292-3023
Practice Address - Fax:515-292-3053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA312162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1137018Medicaid
IA1137018Medicaid