Active NPI
David Gerard Beeman, PH.D.
- Psychologist
- Des Moines, IA
National Provider Identifier
1164589016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00706
- Practice address
- 2130 Grand Ave
Suite B
Des Moines, IA 50312-5365 - Phone
- (515) 279-3033
- Fax
- (515) 270-1647
- NPI assigned
- Jan 2, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00706 | IA | Primary |
Addresses
Primary practice location
2130 Grand Ave
Suite B
Des Moines, IA 50312-5365
Mailing address
2130 Grand Ave
Suite B
Des Moines, IA 50312-5365
Phone (515) 279-3033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215863 | Medicaid | IA |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00706 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Learning Professionals LC | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- West Des Moines, IA
- NPI 1881751766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1164589016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 GRAND AVE",
"address_2": "SUITE B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125365",
"telephone_number": "515-279-3033",
"fax_number": "515-270-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 GRAND AVE",
"address_2": "SUITE B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125365",
"telephone_number": "515-279-3033",
"fax_number": "515-270-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEMAN",
"first_name": "DAVID",
"middle_name": "GERARD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0215863",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in 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 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.