Active NPI
Flynn McCullough, D.O.
- Child & Adolescent Psychiatry Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 06119
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06119 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodney J Dean MD, PC | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Ven Mental Health and TMS Clinic LLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Burgess Health Center | Current | Accepting new patients | |
| Burgess Health Center | Current | Accepting new patients | |
| Associates for Psychiatric Services PC | Child & Adolescent Psychiatry | Current | 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
- 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.
-
- Psychiatry Physician
- Sioux City, IA
- NPI 1598783490
Child & Adolescent Psychiatry
-
- Emergency Medicine Physician
- Onawa, IA
- NPI 1538234232
-
- Critical Access Hospital
- Onawa, IA
- NPI 1730253360
-
dba Burgess Clinic - Whiting
- Rural Health Clinic/Center
- Whiting, IA
- NPI 1487022216
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Psychiatry Physician
- Dakota Dunes, SD
- NPI 1467341628
Child & Adolescent Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Onawa, IA
- NPI 1730253360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.