Active NPI
Deborah Lynne Garrelts-Daoud, M.D.
- Psychiatry Physician
- Waterloo, IA
National Provider Identifier
1215025309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34569
- Practice address
- 3251 W 9TH St
Waterloo, IA 50702-5310 - Phone
- (319) 234-2893
- Fax
- (319) 234-0354
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-100370 | IL | |
| Psychiatry Physician | 2084P0800X | 34569 | IA | Primary |
Addresses
Primary practice location
3251 W 9TH St
Waterloo, IA 50702-5310
Mailing address
3908 Beaver Ridge TRL
Cedar Falls, IA 50613-9400
Phone (319) 277-3004
Other practice location 1
1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074435 | Medicaid | IA |
Other names 1
- Deborah Lynne Garrelts
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34569 | IA | MD | Psychiatry Physician |
| 036-100370 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Psychiatry | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients |
Locations
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
Psychiatry
-
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
- Internal Medicine Physician
- Macomb, IL
- NPI 1609180082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1215025309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3908 BEAVER RIDGE TRL",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506139400",
"telephone_number": "319-277-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3251 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025310",
"telephone_number": "319-234-2893",
"fax_number": "319-234-0354"
}
],
"practiceLocations": [
{
"address_1": "1200 W State St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611022112",
"country_code": "US",
"telephone_number": "815-490-1600",
"fax_number": "815-490-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRELTS-DAOUD",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-100370",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "34569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074435",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "GARRELTS",
"middle_name": "LYNNE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.