JEFFREY BRAD WALLENBERG (NPI# 1457979155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457979155 |
| Entity Type | Individual |
| Full Name | JEFFREY BRAD WALLENBERG |
| Credential | CNP-PMHNP |
| Practice Address |
800 5th St Sioux City IA 51101-1317 |
| Mailing Address |
615 E Wiswall Pl Sioux Falls SD 57105-2029 |
| Practice Telephone | 8004729018 |
| Mailing Telephone | 6052121569 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G159566 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
800 5TH ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51101-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994973 | Jackson Recovery Centers, Inc. | Voluntary or Charitable | 800 5th St, Suite 200, Sioux City, IA 51101-1317 | 2005-07-05 |
| 1578091443 | Devon Cadwell | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-05-23 |
| 1760919435 | Sarah Fude Huisman | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-05-12 |
| 1740711746 | Alyssa Stankoski | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-03-22 |
| 1184164386 | Lori Mews | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-03-07 |
| 1609316819 | Erin Bonstead | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-03-07 |
| 1336689553 | Andrea Darnall | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-03-07 |
| 1962942102 | Cassandra Wiseman | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-03-07 |
| 1659818920 | Christine Blackburn | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2017-01-25 |
| 1619411956 | Kay Ross | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434691 | Dorcas Wambui Kamau | Nurse Practitioner | Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 | 2018-04-11 |
| 1346763554 | Mercy Health Services - Iowa Corp | Skilled Nursing Facility | 801 5th St Fl 7, Sioux City, IA 51101 | 2017-07-19 |
| 1821427287 | Jason Leigh Wagner | Counselor | 505 5th St., Suite 520, Sioux City, IA 51101 | 2013-11-06 |
| 1124354352 | Carol Madsen Watchorn | Social Worker | Nseling Practice, 915 Pierce St, Sioux City, IA 51101 | 2009-10-22 |
| 1710024542 | Woodbury County, Iowa | Case Management | 620 Douglas, Rm B5, Sioux City, IA 51101 | 2007-01-31 |
| 1891863668 | Vivian Lea Miller | Counselor | 705 Douglas St, Suite 350, Sioux City, IA 51101 | 2006-12-01 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1861965089 | Alexis Mae Semmler | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2019-01-10 |
| 1326524844 | Michaela Kristine Anderson | Nurse Practitioner | 801 5th St, Sioux City, IA 51101 | 2018-07-17 |
| 1073009486 | Carly Alyssa Turner | Social Worker | 625 Court St, Sioux City, IA 51101 | 2018-07-09 |
| Find all providers in zip 51101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793845 | Mind Alchemy Pllc | Psychiatry & Neurology | 505 5th St Ste 201, Sioux City, IA 51101-1500 | 2020-09-04 |
| 1528037082 | Rodney Julius Dean | Psychiatry & Neurology | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2006-03-16 |
| 1073992921 | Brandon Vanhessche | Psychiatry & Neurology | 801 5th St, Sioux City, IA 51101-1326 | 2015-05-26 |
| 1962558957 | Albert Okine | Psychiatry & Neurology | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2007-01-25 |
| 1346284908 | James M. Duggan | Psychiatry & Neurology | 600 4th St, Suite 501, Sioux City, IA 51101-1750 | 2006-06-15 |
| 1134161151 | Mercy Medical Services | Psychiatry & Neurology | 1125 Pierce St, Sioux City, IA 51105-1485 | 2006-06-12 |
| 1902846355 | Daniel J. Dees | Psychiatry & Neurology | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2006-06-07 |
| 1053376475 | Daniel W Gillette | Psychiatry & Neurology | 3549 Southern Hills Dr, Sioux City, IA 51106-4736 | 2006-04-19 |
| 1457315285 | Ronald William Brinck | Psychiatry & Neurology | 625 Court St, Sioux City, IA 51101-1919 | 2006-04-17 |
| 1891756128 | Philip Joseph Muller | Psychiatry & Neurology | 600 4th St, Suite 501, Sioux City, IA 51101-1750 | 2006-03-28 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51101 |
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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.