Active NPI
Krista M Brittain-Dial, PSY.D.
- Clinical Psychologist
- West Des Moines, IA
National Provider Identifier
1003937202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001192
- Practice address
- 950 Office Park Rd Ste 221
West Des Moines, IA 50265-2548 - Phone
- (515) 868-2753
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001192 | IA | Primary |
Addresses
Primary practice location
950 Office Park Rd Ste 221
West Des Moines, IA 50265-2548
Mailing address
950 Office Park Rd
Ste 221
West Des Moines, IA 50265-2548
Phone (515) 868-2753
Other practice location 1
3408 Woodland Ave
Suite 102
West Des Moines, IA 50266-6506
Phone (515) 225-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001192 | IA | MD | Athletic Trainer |
| 435 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Aloisius Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Harvey, ND
- NPI 1639296007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003937202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 OFFICE PARK RD",
"address_2": "STE 221",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652548",
"telephone_number": "515-868-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 OFFICE PARK RD STE 221",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652548",
"telephone_number": "515-868-2753"
}
],
"practiceLocations": [
{
"address_1": "3408 Woodland Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502666506",
"country_code": "US",
"telephone_number": "515-225-2015",
"fax_number": "515-225-1744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRITTAIN-DIAL",
"first_name": "KRISTA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "001192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.