Active NPI
Nerem Neuropsychological Services, PC
- Clinical Neuropsychologist
- Johnston, IA
National Provider Identifier
1285968230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 00918
- Legal business name
- NEREM NEUROPSYCHOLOGICAL SERVICES, PC
- Practice address
- 6165 NW 86TH St
Johnston, IA 50131-2270 - Phone
- (515) 727-1676
- Fax
- (515) 727-1682
- NPI assigned
- Sep 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deann Lyn Nerem, PSYD
- Title
- Director/Clinical Neuropsychologist
- Phone
- (515) 689-6411
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 00918 | IA | Primary |
| Adult Development & Aging Psychologist | 103TA0700X | 00918 | IA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 00918 | IA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 00918 | IA |
Addresses
Primary practice location
6165 NW 86TH St
Johnston, IA 50131-2270
Mailing address
6165 NW 86TH St
Johnston, IA 50131-2270
Phone (515) 727-1676
National Provider Directory
National Provider DirectoryLocations
1818 48th St
Des Moines, IA 50310
Phone (515) 271-6000
5406 Merle Hay Rd
Johnston, IA 50131
Phone (515) 727-8750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257724800000",
"number": "1285968230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312270",
"telephone_number": "515-727-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312270",
"telephone_number": "515-727-1676",
"fax_number": "515-727-1682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEREM NEUROPSYCHOLOGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-23",
"last_updated": "2009-11-09",
"status": "A",
"authorized_official_last_name": "NEREM",
"authorized_official_first_name": "DEANN",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "DIRECTOR/CLINICAL NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "515-689-6411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "IA",
"license": "00918",
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "IA",
"license": "00918",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IA",
"license": "00918",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "IA",
"license": "00918",
"primary": false
}
],
"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 Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.