Active NPI
Benjamin Ashley Tallman, PHD
- Clinical Psychologist
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001274
- Practice address
- 1026 A Ave NE
Cedar Rapids, IA 52402-5036 - Phone
- (319) 369-7331
- Fax
- (319) 369-8251
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001274 | IA | Primary |
Addresses
Primary practice location
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Mailing address
1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036
Phone (319) 369-7331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 75.82
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Methodist Hospital | Current | Accepting new patients | |
| The Finley Hospital | Current | Accepting new patients | |
| The Finley Hospital | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Stanley Mathew, MD PLLC | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
855 A Ave NE
Ste 105
Cedar Rapids, IA 52402
Phone (319) 368-5992
1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1073553939
-
dba American Rehabilitation Medicine
- Physical Medicine & Rehabilitation Physician
- Cedar Rapids, IA
- NPI 1720312465
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba UnityPoint Health - Provider Services
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1134176308
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1316291958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 A AVE NE",
"address_2": "SUITE 5000",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025036",
"telephone_number": "319-369-7331",
"fax_number": "319-369-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 A AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025036",
"telephone_number": "319-369-7331",
"fax_number": "319-369-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLMAN",
"first_name": "BENJAMIN",
"middle_name": "ASHLEY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "001274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.