Individual provider Active NPI

Brad Lowell Sievers, PSYD

  • Clinical Psychologist
  • Johnston, IA
National Provider Identifier
1235017021
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
140183 Issued in IA
Practice address
9105 Northpark Dr
Johnston, IA 50131-4807
Phone
(515) 984-0225
NPI assigned
Aug 21, 2025
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 140183 IA Primary

Addresses

Primary practice location

9105 Northpark Dr
Johnston, IA 50131-4807

Mailing address

9105 Northpark Dr
Johnston, IA 50131-4807
Phone (515) 400-4939

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

State licenses

LicenseStateTypeSpecialty
95IAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Grove Therapy Group LLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Julie McClatchey, Lisw, PC PastSince Aug 25, 2025 Accepting new patients

Locations

9105 Northpark Dr
Johnston, IA 50131
Phone (515) 884-8802

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.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1235017021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-400-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NORTHPARK DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314807",
            "telephone_number": "515-984-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "BRAD",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "140183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.