Heartland Healthcare Psychiatry, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEARTLAND HEALTHCARE PSYCHIATRY, LLC

Practice address

455 N Orthmckenzie Lane
North Liberty, IA 52317-8901

Phone

(319) 471-2479

Fax

(877) 756-4974

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Robert William Detlefsen, DNP, FPMH-NP, B.C.NPI 1134206873

Title

Dr. Robert Detlefsen, DNP

Phone

(319) 471-2479

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Detlefsen, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Liberty, IA
  • NPI 1134206873
  NPD Authorized official

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1174139950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N ORTHMCKENZIE LANE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178901",
            "telephone_number": "319-471-2479",
            "fax_number": "877-756-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N ORTHMCKENZIE LANE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178901",
            "telephone_number": "319-471-2479",
            "fax_number": "877-756-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HEALTHCARE PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DETLEFSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DR. ROBERT DETLEFSEN, DNP",
        "authorized_official_telephone_number": "319-471-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FPMH-NP, B.C."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Russell Haubrich, DPM
• Hawthorn Wellness Clinic PLLC
• Laqueasha Hayes
• Terry L Hayes
• Healthsource of North Liberty, PC
• Evan James Heer, PA-C
• Heather Marie Heit, PHARMD
• Natalie L Hempy, M.D.
• Stephen Henkhaus, LISW
• Madelyn Henning, OTD, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in North Liberty, IA
• Providers in North Liberty, 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 Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.