DR. GERALD THOMAS JORGENSEN (NPI# 1659431153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431153 |
| Entity Type | Individual |
| Full Name | DR. GERALD THOMAS JORGENSEN |
| Credential | PH.D. |
| Practice Address |
1229 Mount Loretta Ave Dubuque IA 52003-7826 |
| Practice Telephone | 5635562580 |
| Practice Fax Number | 5635565464 |
| Mailing Telephone | 5635562580 |
| Mailing Fax Number | 5635565464 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
00028 | IA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
00028 | IA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
00028 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1229 MOUNT LORETTA AVE |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52003-7826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962830331 | Todd R Ostwinkle | Counselor | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2013-10-23 |
| 1871820464 | Lori Eastwood Sr. | Social Worker | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2009-11-03 |
| 1477889376 | Amy Mahoney | Social Worker | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2009-10-27 |
| 1588990485 | Angella Link | Social Worker | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2009-10-27 |
| 1295061190 | Joann Weitz | Counselor | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2009-10-27 |
| 1144555376 | Catholic Charities of The Archdiocese of Dubuque Iowa | Community/Behavioral Health | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839691 | Steven Anthony Link | Pharmacist | 400 S Locust, Dubuque, IA 52003 | 2020-04-05 |
| 1336703057 | Braces By Abbadent, LLC | Dentist | 3430 Dodge St., Suite 19, Dubuque, IA 52003 | 2019-04-29 |
| 1689172751 | Statera LLC | Clinic/Center | 3375 Lake Ridge Drive, Dubuque, IA 52003 | 2018-01-24 |
| 1083962401 | Megan M Gross | Registered Nurse | 3375 Lake Ridge Dr., Dubuque, IA 52003 | 2012-08-15 |
| 1790067320 | Open Arms Home Health Care LLC | Home Health | 3390 Lake Ridge Drive, Dubuque, IA 52003 | 2011-09-09 |
| 1073539375 | Key West Fire and Ems Association | Ambulance | 10640 Lake Eleanor Road, Dubuque, IA 52003 | 2006-07-14 |
| 1124054283 | Jennifer Rebecca Klein | Chiropractor | 2254 Flint Hill Drive, #1, Dubuque, IA 52003 | 2006-06-23 |
| 1780647586 | Dawnelle Marie-vargas Gordon | Nurse Practitioner | 1023 Shady Oaks Dr, Dubuque, IA 52003 | 2006-04-11 |
| 1942287875 | Thomas J King IIi | Dentist | 100 Bryant St, Dubuque, IA 52003 | 2005-12-30 |
| 1013960566 | Peter Joseph Szeibel | Psychiatry & Neurology | 1015 Valentine Dr, Dubuque, IA 52003-0212 | 2006-05-18 |
| Find all providers in zip 52003 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137908 | Gregory Wayne Schrimsher | Psychologist | 3600 30th St Rm 2750, Des Moines, IA 50310-5753 | 2007-03-29 |
| 1346277829 | John Eustis Williams | Psychologist | 1310 Solar Dr, Waterloo, IA 50701-2463 | 2006-06-28 |
| 1801228689 | Ann Monet Latham | Psychologist | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2013-08-05 |
| 1104166487 | David Anthony Reedy | Psychologist | 30 W Main St, Suite 102, Marshalltown, IA 50158-4917 | 2013-02-22 |
| 1255596599 | Malinda Allen | Psychologist | 200 Hawkins Dr, University of Iowa Health Care, Iowa City, IA 52242-1009 | 2008-07-25 |
| 1922183078 | Emily Warnes | Psychologist | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-10-26 |
| 1306949896 | Innovative Psychiatric Care PC | Psychologist | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2006-09-07 |
| 1730197492 | North Iowa Mercy Clinics | Psychologist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2006-08-04 |
| 1851307946 | Timothy E Wahl | Psychologist | 1229 C Ave E, #300, Oskaloosa, IA 52577-4246 | 2006-07-31 |
| 1922045244 | Naomi Beth Mccormick | Psychologist | 2717 Minnetonka Dr, Clinical Health Psychologists, Plc, Cedar Falls, IA 50613-1531 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GERALD THOMAS JORGENSEN.
| 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.