Active NPI
Barbara Wolf O'Rourke, PHD, LMHC
- Psychologist
- Iowa City, IA
National Provider Identifier
1043209273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00433
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00433 | Other | IA | PSYCHOLOGY 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00845 | IA | MD | Mental Health Counselor |
| 00433 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Psychiatric Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Liberty, IA
- NPI 1568121457
-
dba LifeWorks
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Liberty, IA
- NPI 1720709074
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.