Haley Lynn Kloberdanz, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G175218 Issued in IA

Practice address

5408 NW 88TH St Ste 140
Johnston, IA 50131-2953

Phone

(515) 368-7504

Fax

(515) 355-3491

NPI assigned

Aug 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Texas at Austin Dell Medical School, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mending Minds LLCGroup PAC ID 5496168882, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mending Minds, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, IA
  • NPI 1245833565
  Medicare reassignment Care Compare group NPD
• Austin Travis County Mental Health and Mental Retardation Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1053632505
  NPD (past)
• Austin Travis County Mental Health and Mental Retardation Center

  • Psychiatry Physician
  • Austin, TX
  • NPI 1750337259

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1104553304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOBERDANZ",
        "first_name": "HALEY",
        "middle_name": "LYNN",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G175218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Kern
• Kiddos ABA Iowa LLC
• Kids Lead, LLC
• Katherine Kline
• Fredrick T Klingbeil, MD
• Joshua Erich Klunker
• Darci Kobolt
• Christine Koepplin, LMSW
• Shawn Kolb, BCBA
• Kore Physical Therapy PLLC

• Psychiatric/Mental Health Nurse Practitioner in Johnston, IA
• Providers in Johnston, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.