Daniel Ephraim Pott-Pepperman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001024 Issued in IA

Practice address

400 Locust St
Suite # 400
Des Moines, IA 50309-2331

Phone

(515) 664-2681

Fax

(515) 223-2371

NPI assigned

Nov 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1386899086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040997",
            "telephone_number": "515-664-2681",
            "fax_number": "515-223-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST",
            "address_2": "SUITE # 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092331",
            "telephone_number": "515-664-2681",
            "fax_number": "515-223-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTT-PEPPERMAN",
        "first_name": "DANIEL EPHRAIM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001024",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180710719",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00816719",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386899086",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Post-Acute Physicians of Iowa, PLLC
• Allison Post
• Tiffany Renae Post, PA-C
• Kevin Pothoven, M.D.
• Tristin Potratz, LMHC
• Vali Potter, RPH
• Russell Adair Potts, D.D.S.
• Shardul Poudyal, MD
• Sophie Pouliot
• Kavita Powaria, MD

• Clinical Psychologist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.