DR. JILL DIANE BURKLEY (NPI# 1376550988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376550988 |
| Entity Type | Individual |
| Full Name | DR. JILL DIANE BURKLEY |
| Credential | PSY D |
| Practice Address |
1000 4th Street Sw Mason City IA 50401-1562 |
| Mailing Address |
1000 4th St Sw Mason City IA 50401-2800 |
| Practice Telephone | 6414227797 |
| Mailing Telephone | 6414227797 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 00982 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1000 4TH STREET SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073056453 | Margaret Phillips | Psychologist | 235 S Eisenhower Ave, Mason City, IA 50401-1562 | 2016-12-02 |
| 1700209558 | Meghan Nash | Psychologist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2014-01-30 |
| 1801129176 | Michael P Dobbin | Psychologist | 235 S Eisenhower Ave, Mason City, IA 50401-1562 | 2009-09-17 |
| 1891940730 | Crystal Marie Menken | Psychologist | 1010 4th St Sw, Suite 340, Mason City, IA 50401-2857 | 2008-11-19 |
| 1528075157 | Daniel Edward Courtney | Psychologist | 235 S Eisenhower Ave, Mason City, IA 50401-1562 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970622 | Pella Counseling Plc | Psychologist | 1535 Terrace Dr, Pella, IA 50219-1048 | 2020-10-21 |
| 1639776313 | Sara E Wise | Psychologist | 2240 9th St, Coralville, IA 52241-1575 | 2020-10-05 |
| 1023623584 | Dawn M Bates | Psychologist | 2675 Heinz Rd Apt 9, Iowa City, IA 52240-7240 | 2020-09-11 |
| 1811551302 | Paula Jean Gilroy | Psychologist | 1227 W 27th St Student Health Center 103, Cedar Falls, IA 50614-0385 | 2019-04-30 |
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1962980771 | Mark R Poeppe | Psychologist | 12951 University Ave Ste 204, Clive, IA 50325-8293 | 2018-08-02 |
| 1083103790 | Lion's Heart Psychological Services, Plc | Psychologist | 5250 N Park Pl Ne Ste 109, Cedar Rapids, IA 52402-6221 | 2018-05-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1255789814 | Meifen Wei | Psychologist | 901 Stange Rd, Ames, IA 50011-1037 | 2016-05-24 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.