Active NPI
Neuropsychiatric Medicine Clinic PLLC
- Child & Adolescent Psychiatry Physician
- Clinton, IA
National Provider Identifier
1053627182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 27692
- Legal business name
- NEUROPSYCHIATRIC MEDICINE CLINIC PLLC
- Practice address
- 511 S 3Rd St
Clinton, IA 52732-4357 - Phone
- (319) 217-2566
- NPI assigned
- Aug 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua E Nnanji, MD
- Title
- Owner
- Phone
- (319) 217-2566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 27692 | IA | Primary |
Addresses
Primary practice location
511 S 3Rd St
Clinton, IA 52732-4357
Mailing address
PO Box 321
Clinton, IA 52733-0321
Phone (319) 217-2566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27692 | Other | ID | IOWA LICENSE |
National Provider Directory
National Provider DirectoryLocations
511 S 3rd St
Clinton, IA 52732
Phone (319) 217-2566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282780800000",
"number": "1053627182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321",
"city": "CLINTON",
"state": "IA",
"postal_code": "527330321",
"telephone_number": "319-217-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 S 3RD ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324357",
"telephone_number": "319-217-2566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPSYCHIATRIC MEDICINE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A",
"authorized_official_last_name": "NNANJI",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-217-2566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IA",
"license": "27692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "27692",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.