NEUROPSYCHIATRIC MEDICINE CLINIC PLLC (NPI# 1053627182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053627182 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHIATRIC MEDICINE CLINIC PLLC |
| Practice Address |
511 S 3rd St Clinton IA 52732-4357 |
| Mailing Address |
Po Box 321 Clinton IA 52733-0321 |
| Practice Telephone | 3192172566 |
| Mailing Telephone | 3192172566 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | DR. JOSHUA E NNANJI (OWNER) |
| Authorized Official Telephone | 3192172566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
27692 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IOWA LICENSE | 27692 | 01 |
| Street Address |
511 S 3RD ST |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1104032002 | Kathryn Anne Kvederis | Psychiatry & Neurology | 3105 Druid Hill Dr, Des Moines, IA 50315-2122 | 2007-05-15 |
| 1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
| 1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
| 1336116953 | Suzanne Brown Henry | Psychiatry & Neurology | 2593 Holiday Rd, Coralville, IA 52241 | 2006-03-02 |
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
| 1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
| 1972739894 | Amanda Courtney Elliott | Psychiatry & Neurology | 200 Hawkins Dr, Department of Psychiatry - 1870 Jpp, Iowa City, IA 52242-1009 | 2009-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.