Individual provider Active NPI

Krista M Brittain-Dial, PSY.D.

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1003937202
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001192 Issued in IA
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
001192IAMDAthletic Trainer
435NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.