DR. TRACY M KSIAZAK


Address: 600 Blank Honors Ctr, Iowa City, IA 52242-0454
Phone: 3193356148

DR. TRACY M KSIAZAK (NPI# 1982170890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982170890
Entity Type Individual
Full Name DR. TRACY M KSIAZAK
Credential PHD
Practice Address 600 Blank Honors Ctr
Iowa City
IA 52242-0454
Mailing Address 937 Cottonwood Ave
Iowa City
IA 52240-2110
Practice Telephone 3193356148
Mailing Telephone 7657493593
Enumeration Date 2018-10-18
Last Update Date 2018-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
091877 IA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
935 S Gilbert St Ste 2, Iowa City, IA 522404745 3193385229

Office Location

Street Address 600 BLANK HONORS CTR
City IOWA CITY
State IA
Zip Code 52242-0454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952677023 Alissa F. Doobay Psychologist 600 Blank Honors Ctr, The University of Iowa, Iowa City, IA 52242-0454 2012-03-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033738679 Shannon Louise Miers Physical Therapist Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 2020-04-14
1821624230 Victoria Troesch Student in an Organized Health Care Education/Training Program 375 Newton Rd, Iowa City, IA 52242 2020-03-17
1891338539 Kira Ann Hennes Blum Dietitian, Registered 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 2019-10-25
1407330483 Kristin L Heider Psychologist 616 E Bloomington Street, Iowa City, IA 52242 2018-09-17
1447738398 Allison Kral Dietitian, Registered 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 2018-08-02
1528544780 Abigail Lynne Schiltz Physician Assistant 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 2018-07-11
1710474259 Bashar H. H. Abuqayas Hospitalist 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 2018-04-19
1023547395 Tyler Quist Internal Medicine 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 2017-06-08
1972962371 Angeleah Korin Whitlatch Social Worker 100 Hawking Drive, Iowa City, IA 52242 2016-02-15
1649667734 Jennie Sertterh Specialist/Technologist 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 2015-04-16
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992822670 Lanaya Lynn Ethington Psychologist 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 2007-03-26
1023120276 Gregory Leo Gullickson Psychologist 7 Stuit Hall, Iowa City, IA 52242 2006-08-31
1114038635 Sarah Fraley Psychologist 601 Hwy 6 West/116cc, Iowa City Vamc, Iowa City, IA 52246 2006-08-31
1598709214 Mary Datson Eggert Psychologist Va Medical Center, Psychology 116b, Highway 6 East, Iowa City, IA 52246 2006-06-15
1831156173 Alison K Milburn Psychologist 325 E Washington St, Ste 301, Iowa City, IA 52240 2006-04-28
1891784591 Lauri Jo Lehn Psychologist 209 East Washington St, Suite 202, Iowa City, IA 52240-3928 2005-10-17
1538691316 John Westefeld Psychologist 2412 Towncrest Dr, Iowa City, IA 52240-6622 2017-03-30
1235593252 State University of Iowa Psychologist 3223 Westlawn S, Iowa City, IA 52242-1102 2016-04-06
1194122127 Eva G Schoen Psychologist 200 Hawkins Dr, Dept of Psychiatry 2941 Jpp, Iowa City, IA 52242-1009 2014-11-19
1134407422 Kayla Nicole Mckibben Psychologist 601 Highway 6 W, Iowa City, IA 52246-2209 2011-08-03
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Competitor

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City IOWA CITY
Zip Code 52242

Improve Information

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Dataset Information

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.

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