Iowa City Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001247 Issued in IA

Legal business name

IOWA CITY PSYCHOLOGY, LLC

Practice address

2225 Mormon Trek Blvd
Suite 205
Iowa City, IA 52246-4407

Phone

(319) 538-8782

NPI assigned

Apr 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carrie Ann Kimpton Heald, PHD

Title

Licensed Psychologist

Phone

(319) 538-8782

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1356705495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 MORMON TREK BLVD",
            "address_2": "SUITE 205",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464407",
            "telephone_number": "319-538-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MORMON TREK BLVD",
            "address_2": "SUITE 205",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464407",
            "telephone_number": "319-538-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CITY PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "KIMPTON HEALD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-538-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Iowa City, IA
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• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.