Organization Active NPI

Resilient Psychiatry L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, IA
National Provider Identifier
1316638448
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RESILIENT PSYCHIATRY L.L.C.
Practice address
5460 Longview CT Unit 3
Johnston, IA 50131-2725
Phone
(515) 537-9686
Fax
(515) 384-0107
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Authorized official

Name
Tamara Sue Halbersma, ARNPNPI 1548859374
Title
Pmhnp-BC
Phone
(515) 537-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5460 Longview CT Unit 3
Johnston, IA 50131-2725

Mailing address

5460 Longview CT Unit 3
Johnston, IA 50131-2725
Phone (515) 537-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260427000945 IA Part B Supplier - Clinic/Group Practice 6507333697 Receives reassigned benefits from 2 practitioners
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

4725 Merle Hay Rd
Ste 204
Des Moines, IA 50322
Phone (515) 461-8889

4725 Merle Hay Rd
Ste 203
Des Moines, IA 50322
Phone (515) 490-3362

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1316638448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 LONGVIEW CT UNIT 3",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312725",
            "telephone_number": "515-537-9686",
            "fax_number": "515-809-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 LONGVIEW CT UNIT 3",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312725",
            "telephone_number": "515-537-9686",
            "fax_number": "515-384-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PSYCHIATRY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "HALBERSMA",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "515-537-9686",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.