Organization Active NPI

Nerem Neuropsychological Services, PC

  • Clinical Neuropsychologist
  • Johnston, IA
National Provider Identifier
1285968230
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
00918 Issued in IA
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

Updated by the provider on Nov 9, 2009

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 00918 IA Primary
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X 00918 IA
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X 00918 IA
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.