Organization Active NPI

Krista M. Brittain, PSYD, Inc

  • Community/Behavioral Health Agency
  • West Des Moines, IA
National Provider Identifier
1043572225
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001192 Issued in IA
Legal business name
KRISTA M. BRITTAIN, PSYD, INC
Practice address
3408 Woodland Ave
Suite 102
West Des Moines, IA 50266-6506
Phone
(515) 225-2015
Fax
(515) 225-1744
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Dr. Krista M Brittain, PSY.D.
Title
President, Clinical Psychologist
Phone
(515) 225-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001192 IA Primary

Addresses

Primary practice location

3408 Woodland Ave
Suite 102
West Des Moines, IA 50266-6506

Mailing address

3408 Woodland Ave
Suite 102
West Des Moines, IA 50266-6506
Phone (515) 225-2015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1043572225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE",
            "address_2": "SUITE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666506",
            "telephone_number": "515-225-2015",
            "fax_number": "515-225-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE",
            "address_2": "SUITE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666506",
            "telephone_number": "515-225-2015",
            "fax_number": "515-225-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTA M. BRITTAIN, PSYD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "515-225-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Jun 13, 2012; 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.