Individual provider Active NPI

Flynn McCullough, D.O.

  • Child & Adolescent Psychiatry Physician
  • Sioux City, IA
National Provider Identifier
1023542271
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
06119 Issued in IA
Practice address
600 4TH St Ste 501
Sioux City, IA 51101-1606
Phone
(712) 234-0220
Fax
(712) 234-0225
NPI assigned
Apr 14, 2017
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Child & Adolescent Psychiatry Physician 2084P0804X 06119 IA Primary

Addresses

Primary practice location

600 4TH St Ste 501
Sioux City, IA 51101-1606

Mailing address

600 4TH St Ste 501
Sioux City, IA 51101-1606
Phone (712) 234-0220

Other practice location 1

525 East Market Street
Summa Psychiatry
Akron, OH 44304
Phone (330) 379-5083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912000500 IA Practitioner - Psychiatry 1153706239 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodney J Dean MD, PCGroup PAC ID 8628060654, 7 clinicians

Practice addresses (Care Compare)

3549 Southern Hills Dr
Sioux City, IA 51106-4736
Phone (712) 274-6729

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
06119IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rodney J Dean MD, PC CurrentSince Oct 1, 2024 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Ven Mental Health and TMS Clinic LLC Child & Adolescent Psychiatry CurrentSince Jul 9, 2025 Accepting new patients
Burgess Health Center CurrentSince Nov 1, 2024 Accepting new patients
Burgess Health Center CurrentSince Nov 1, 2024 Accepting new patients
Associates for Psychiatric Services PC Child & Adolescent Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Burgess Health Center Current Accepting new patients

Locations

1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311

3549 Southern Hills Dr
Sioux City, IA 51106
Phone (712) 274-6729

600 4th St
Ste 501
Sioux City, IA 51101
Phone (712) 234-0220

Interoperability endpoints

  • Direct secure messaging: fmccullough473024@direct.ccf.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1023542271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST STE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011606",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST STE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011606",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 East Market Street",
            "address_2": "Summa Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "44304",
            "country_code": "US",
            "telephone_number": "330-379-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "FLYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "06119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.