Todd Pietruszka, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001069 Issued in IA

Practice address

2130 Grand Ave Ste B
Des Moines, IA 50312-5384

Phone

(515) 270-0280

Fax

(515) 270-1647

NPI assigned

Nov 2, 2009

Last updated

Nov 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Learning Professionals LC

  • Psychologist
  • West Des Moines, IA
  • NPI 1881751766
  NPD (past)

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1407182058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280",
            "fax_number": "515-270-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GRAND AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125384",
            "telephone_number": "515-270-0280",
            "fax_number": "515-270-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUSZKA",
        "first_name": "TODD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SERVICE PROVIDER NUMBER",
            "identifier": "000534",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Pierce
• Jordan Hunter Pierce, BSN, DNP, CRNA, RN
• Wendy A Pierce, PHARMD
• Aaron James Pierson, RN
• Caita Pierson
• Julie M Piittmann, APRN
• Sarah A Pike, ARNP
• Leah Marie Pillard, PHARMD
• Marianka Overschie Pille, M.D.
• Jessica Ann Pilling, L.M.H.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.