Organization Active NPI

Conditt Psychological Services

  • Psychologist
  • Cedar Falls, IA
National Provider Identifier
1366615312
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00915 Issued in IA
Legal business name
CONDITT PSYCHOLOGICAL SERVICES
Practice address
715 W 1St St
Cedar Falls, IA 50613-2643
Phone
(319) 277-1020
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Paul M Conditt, PSY.D.
Title
Psychologist
Phone
(319) 277-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 00915 IA Primary

Addresses

Primary practice location

715 W 1St St
Cedar Falls, IA 50613-2643

Mailing address

715 W 1St St
Cedar Falls, IA 50613-2643
Phone (319) 277-1020

National Provider Directory

National Provider Directory

Locations

715 W 1st St
Cedar Falls, IA 50613
Phone (319) 277-1020

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1366615312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132643",
            "telephone_number": "319-277-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132643",
            "telephone_number": "319-277-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDITT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CONDITT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-277-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.