Individual provider Active NPI

Barbara Wolf O'Rourke, PHD, LMHC

  • Psychologist
  • Iowa City, IA
National Provider Identifier
1043209273
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00433 Issued in IA
Practice address
673 Westbury Drive
Suite 201
Iowa City, IA 52245-2723
Phone
(319) 356-6352
Fax
(319) 358-2367
NPI assigned
Oct 20, 2005
Last updated
May 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 00433 IA Primary

Addresses

Primary practice location

673 Westbury Drive
Suite 201
Iowa City, IA 52245-2723

Mailing address

673 Westbury Drive
Suite 201
Iowa City, IA 52245-2723
Phone (319) 356-6352

Other identifiers 1

IdentifierTypeStateIssuer
00433OtherIAPSYCHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 14, 2021 through Oct 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00845IAMDMental Health Counselor
00433IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Verhoef, MD P.C. Past Accepting new patients
Psychiatric Associates of Iowa, PC Past Accepting new patients
Psychiatric Associates of Iowa, PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1043209273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 WESTBURY DRIVE",
            "address_2": "SUITE 201",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452723",
            "telephone_number": "319-356-6352",
            "fax_number": "319-358-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 WESTBURY DRIVE",
            "address_2": "SUITE 201",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452723",
            "telephone_number": "319-356-6352",
            "fax_number": "319-358-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "BARBARA",
        "middle_name": "WOLF",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "00433",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.