Active NPI
Keith A Karstens, PSYD
- Clinical Psychologist
- Sioux City, IA
National Provider Identifier
1366403677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00404
- Practice address
- 600 4TH St
Suite 501
Sioux City, IA 51101-1750 - Phone
- (712) 234-0220
- Fax
- (712) 234-0225
- NPI assigned
- Mar 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00911 | IA | |
| Clinical Psychologist | 103TC0700X | 00404 | IA | Primary |
Addresses
Primary practice location
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Mailing address
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Phone (712) 234-0220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1240408 | Medicaid | IA | |
| 37250 | Other | IA | WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00404 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Clinic, P.C. | Past | Accepting new patients | |
| Ven Mental Health and TMS Clinic LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Dakota Dunes, SD
- NPI 1649364894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1366403677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 501",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-234-0220",
"fax_number": "712-234-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 4TH ST",
"address_2": "SUITE 501",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011750",
"telephone_number": "712-234-0220",
"fax_number": "712-234-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARSTENS",
"first_name": "KEITH",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00911",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1240408",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "37250",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.