Active NPI
Paul M Conditt, PSY.D.
- Clinical Psychologist
- Cedar Falls, IA
National Provider Identifier
1154391035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00915
- Practice address
- 715 W 1St St
Cedar Falls, IA 50613-2617 - Phone
- (319) 277-1020
- Fax
- (319) 266-6490
- NPI assigned
- Jan 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 Psychologist | 103TC0700X | 00915 | IA | Primary |
Addresses
Primary practice location
715 W 1St St
Cedar Falls, IA 50613-2617
Mailing address
715 W 1St St
Cedar Falls, IA 50613-2617
Phone (319) 277-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 7, 2017 through Apr 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00915 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Cedar Falls, IA
- NPI 1366615312
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154391035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W 1ST ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132617",
"telephone_number": "319-277-1020",
"fax_number": "319-266-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W 1ST ST",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132617",
"telephone_number": "319-277-1020",
"fax_number": "319-266-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDITT",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
- Comprehensive Systems, Inc
- Comprehensive Systems, Inc.
- Comprehensive Systems, Inc.
- Conditt Psychological Services
- Kristine M Conditt, PH.D.
- Matthew Wayne Conklin, PHARMD
- Caitlyn Nicole Conlee
- Conlin Chiropractic (Advanced Spine and Extremity Clinic)
- Sean Michael Conlin, D.C.
- Susan Louise Conrad, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.