Active NPI
Harriet A Phelps, PSY.D, LISW
- Clinical Social Worker
- Davenport, IA
National Provider Identifier
1073522306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00851
- Practice address
- 718 Bridge Ave
Suite 6
Davenport, IA 52803-5620 - Phone
- (563) 381-8088
- Fax
- (563) 381-8077
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00851 | IA | Primary |
Addresses
Primary practice location
718 Bridge Ave
Suite 6
Davenport, IA 52803-5620
Mailing address
PO Box 2783
Davenport, IA 52809-2783
Phone (563) 381-8088
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216358 | Other | IA | IOWA HEALTH |
| 486768000 | Other | IA | MAGELLAN |
| 0457481 | Medicaid | IA | |
| 1073522306 | Other | TRICARE/CHAMPUS | |
| 396294 | Other | IA | VALUE OPTIONS RAILROAD |
| 36005 | Other | IA | WELLMARK |
| 238252 | Other | IA | MIDLANDS CHOICE |
| 246562 | Other | IA | COMPSYCH |
| 800013870 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse in the House, Inc. | Past | Accepting new patients | |
| Employee and Family Counsleing Center | Past | Accepting new patients | |
| Optimae Lifeservices, Inc, | Clinical | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Davenport, IA
- NPI 1598948572
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1073522306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2783",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528092783",
"telephone_number": "563-381-8088",
"fax_number": "563-381-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 BRIDGE AVE",
"address_2": "SUITE 6",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035620",
"telephone_number": "563-381-8088",
"fax_number": "563-381-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "HARRIET",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "00851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH",
"identifier": "216358",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "486768000",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457481",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "1073522306",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS RAILROAD",
"identifier": "396294",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "36005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "238252",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "246562",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "800013870",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.