PSYCHOLOGY IOWA PLLC (NPI# 1245889104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245889104 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGY IOWA PLLC |
| Other Organization Name | PSYCHOLOGY IOWA |
| Practice Address |
3703 Douglas Ave Des Moines IA 50310-5347 |
| Practice Telephone | 5152774357 |
| Mailing Telephone | 5152774357 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DR. JEFFREY SCOTT KINDERDIETZ (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5152774357 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Psychology Iowa | Other Name - Individual/Organization |
| Street Address |
3703 DOUGLAS AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672928 | Julia Van Liew | Psychologist | 3600 30th St Ste -117, Des Moines, IA 50310-5753 | 2017-11-08 |
| 1972647626 | John Brian Dilley | Psychologist | 1350 Nw 138th St, Suite 200, Des Moines, IA 50325-8377 | 2007-02-16 |
| 1760530356 | Clinical Assessment & Treatment Services PC | Psychologist | 4313 University Ave, Des Moines, IA 50311-3423 | 2007-01-08 |
| 1528169299 | Marcene R Moran | Psychologist | 2643 Beaver Ave, Suite 184, Des Moines, IA 50310-3909 | 2006-09-26 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1104934793 | Craig Blaine Rypma | Psychologist | 2404 Forest Dr, Des Moines, IA 50312-5400 | 2006-08-25 |
| 1104891977 | Martha Whitfield Davis | Psychologist | 22517 7th Ave S, Des Moines, WA 98198-6820 | 2006-02-23 |
| 1811962335 | Raymond Tibe | Psychologist | 550 39th St, Ste. 301b, Des Moines, IA 50312-3514 | 2006-02-19 |
| 1134118391 | Deems Francis Ortega I | Psychologist | 309 Court Ave, Suite 229, Des Moines, IA 50309-2245 | 2005-10-19 |
| 1750809752 | Halley Woodward | Psychologist | 3600 30th St, Des Moines, IA 50310-5753 | 2017-08-30 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on PSYCHOLOGY IOWA PLLC.
| 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.