| Evizzit Of Iowa Psychiatry Pc | |
|
1501 42nd St Ste 575 West Des Moines IA 50266-1060 | |
| (855) 270-3625 | |
| Not Available |
| Full Name | Evizzit Of Iowa Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1501 42nd St Ste 575, West Des Moines, Iowa |
| Authorized Official Name and Position | Cynthia Walker (DIRECTOR OF PROVIDER OPERATIONS) |
| Authorized Official Contact | 8552703625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evizzit Of Iowa Psychiatry Pc 1501 42nd St Ste 120 West Des Moines IA 50266-1005 Ph: (855) 270-3625 | Evizzit Of Iowa Psychiatry Pc 1501 42nd St Ste 575 West Des Moines IA 50266-1060 Ph: (855) 270-3625 |
| NPI Number | 1740841188 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 2860825924 |
|---|---|
| Medicare Enrollment ID | O20191203001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740841188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Hiedi C Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699075929 PECOS PAC ID: 9234328329 Enrollment ID: I20110105000239 |
| Provider Name | Joan James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437312014 PECOS PAC ID: 6002066214 Enrollment ID: I20121024000805 |
| Provider Name | Susanna Funk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598019663 PECOS PAC ID: 9133373285 Enrollment ID: I20130125000359 |
| Provider Name | Janice Hesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073764734 PECOS PAC ID: 4385777523 Enrollment ID: I20130723000385 |
| Provider Name | Heidi Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972913978 PECOS PAC ID: 3072746338 Enrollment ID: I20140513000177 |
| Provider Name | Kovilparambil Antony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376677138 PECOS PAC ID: 7113910266 Enrollment ID: I20140630001733 |
| Provider Name | Mary Embrescia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659556934 PECOS PAC ID: 8022261197 Enrollment ID: I20150312000859 |
| Provider Name | Heidi Lohff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992041396 PECOS PAC ID: 3274852165 Enrollment ID: I20150427000912 |
| Provider Name | Janet L Platt-raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982068011 PECOS PAC ID: 9436401452 Enrollment ID: I20181002002802 |
| Provider Name | Christina Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245765841 PECOS PAC ID: 2466724075 Enrollment ID: I20200221001825 |
| Provider Name | Nina Jordania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164428074 PECOS PAC ID: 8224003108 Enrollment ID: I20200331003402 |
| Provider Name | Prema Sanne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982686838 PECOS PAC ID: 1456344266 Enrollment ID: I20200514000704 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356787873 PECOS PAC ID: 7012142953 Enrollment ID: I20210907000129 |
| Provider Name | Shana Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298084 PECOS PAC ID: 6507183449 Enrollment ID: I20211101001298 |
| Provider Name | Neza Bharucha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467986422 PECOS PAC ID: 3173899440 Enrollment ID: I20211101001754 |
| Provider Name | Julie A Linsenmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710944335 PECOS PAC ID: 8426073214 Enrollment ID: I20211210001587 |
| Provider Name | Rosalyn Marie Geier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538823794 PECOS PAC ID: 7012302235 Enrollment ID: I20220324001410 |
| Provider Name | Krista Thornberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347059 PECOS PAC ID: 1052602158 Enrollment ID: I20220506002201 |
| Provider Name | Clinton S Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192890 PECOS PAC ID: 6103258314 Enrollment ID: I20220621003064 |
| Provider Name | Laurie Dobrinich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306292123 PECOS PAC ID: 2163711086 Enrollment ID: I20220921000388 |
| Provider Name | Indira Challa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457449993 PECOS PAC ID: 7214087527 Enrollment ID: I20230123000201 |
| Provider Name | Tara S Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982885414 PECOS PAC ID: 3779663661 Enrollment ID: I20230224001203 |
| Provider Name | Paul Mcginnis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083632269 PECOS PAC ID: 9436166618 Enrollment ID: I20230313002284 |
| Provider Name | Paula Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760143002 PECOS PAC ID: 1557747953 Enrollment ID: I20230425001700 |
| Provider Name | Mark Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205910643 PECOS PAC ID: 6103858477 Enrollment ID: I20230816002379 |
| Provider Name | Cathleen Handke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884349 PECOS PAC ID: 9830580612 Enrollment ID: I20230921003889 |
| Provider Name | Amanda Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689025330 PECOS PAC ID: 9234496845 Enrollment ID: I20231121001213 |
| Provider Name | Irene Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114568656 PECOS PAC ID: 3971632902 Enrollment ID: I20231215001171 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20231218002875 |
| Provider Name | Courtney Larchelle Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558940726 PECOS PAC ID: 1658775986 Enrollment ID: I20240123000928 |
| Provider Name | Lily Elizabeth Freier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417140781 PECOS PAC ID: 1850485764 Enrollment ID: I20240206004737 |
| Provider Name | Karen Wittman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407381874 PECOS PAC ID: 5698118552 Enrollment ID: I20240207002339 |
| Provider Name | Mary E Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780527 PECOS PAC ID: 3476986415 Enrollment ID: I20240316000274 |
| Provider Name | Sriram Ramaswamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570311 PECOS PAC ID: 8426085994 Enrollment ID: I20240403002486 |
| Provider Name | Marcie Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083864888 PECOS PAC ID: 1658537386 Enrollment ID: I20240410002481 |
| Provider Name | Muhammad R Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850170 PECOS PAC ID: 0749591055 Enrollment ID: I20240506001318 |
| Provider Name | Sheena Dohar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144618414 PECOS PAC ID: 9234432667 Enrollment ID: I20240610003464 |
| Provider Name | Rakesh Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445475 PECOS PAC ID: 6002050010 Enrollment ID: I20240627003730 |
| Provider Name | Scott Baymiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164436184 PECOS PAC ID: 3971406406 Enrollment ID: I20241022002959 |
| Provider Name | Jean-maurice Salcedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386091700 PECOS PAC ID: 6507262656 Enrollment ID: I20241031001696 |
| Provider Name | Gladys Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174974661 PECOS PAC ID: 2567746738 Enrollment ID: I20241120003759 |
| Provider Name | Darcy A Wiebrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578195038 PECOS PAC ID: 2769925494 Enrollment ID: I20241126000232 |
| Provider Name | Shanon Caillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295564938 PECOS PAC ID: 4880127950 Enrollment ID: I20241224000712 |
| Provider Name | Susan E Selthofner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356008668 PECOS PAC ID: 8426444860 Enrollment ID: I20250422000119 |
| Provider Name | Christopher Alan Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669748489 PECOS PAC ID: 6608169123 Enrollment ID: I20250609001694 |
| Provider Name | Tina S Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053795435 PECOS PAC ID: 2062727027 Enrollment ID: I20250610002691 |
Iowa Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4401 Westown Pkwy Ste 250, West Des Moines, IA 50266 Phone: 515-270-0093 Fax: 515-270-4939 | |
Karen R Ahrens Psy.d. Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 Valley West Dr Ste 206-17, West Des Moines, IA 50266 Phone: 515-556-1558 | |
Loneylohrdannen Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Office Park Rd Ste 235, West Des Moines, IA 50265 Phone: 515-200-3770 | |
Starting New Chapters Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4949 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-729-2431 | |
Rozga & Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W Lakes Pkwy Ste 210, West Des Moines, IA 50266 Phone: 515-202-3133 | |
Harmonic Medical Group Of Iowa, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1503 42nd St Ste 210, West Des Moines, IA 50266 Phone: 862-375-6089 | |
Summit Therapy Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4949 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-329-6039 |