Jason Matthew Drwal, PH. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001126 Issued in IA

Practice address

595 Ashley CT Ste 5
North Liberty, IA 52317-4758

Phone

(319) 853-8762

NPI assigned

Jan 7, 2009

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Male

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Therapy Center LLCGroup PAC ID 8527465863, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Therapy Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
  • NPI 1043828825
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1164669594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LOCKMOOR CIR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178042",
            "telephone_number": "319-853-8762",
            "fax_number": "319-249-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 5",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "319-853-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRWAL",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2022-12-09",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Devine
• Kathryn Dinneen Crane, MSW
• Allison M Donovan
• Katelynn Marie Doran, PHARMD, BCPS
• Thomas Gregory Drahos, PA-C
• Amy M Dupont, PA-C
• Alyson Carol Dusdieker, LPT
• Dyson Chiropractic and Wellness
• Jacob Dyson, DC
• Thomas P Ebinger, M.D.

• Clinical Psychologist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.