Barbara Joan Cavallin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00337 Issued in IA

Practice address

6963 University Ave
Windsor Heights, IA 50311-1540

Phone

(515) 277-1775

Fax

(515) 277-1698

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255404737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 UNIVERSITY AVE",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503111540",
            "telephone_number": "515-277-1775",
            "fax_number": "515-277-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 UNIVERSITY AVE",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503111540",
            "telephone_number": "515-277-1775",
            "fax_number": "515-277-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLIN",
        "first_name": "BARBARA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Windsor Heights, IA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.