Organization Active NPI

McClintock Psychiatry Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1407250715
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MCCLINTOCK PSYCHIATRY SERVICES LLC
Practice address
114 N 27TH St
Fort Dodge, IA 50501-4322
Phone
(515) 302-8072
Fax
(515) 302-8076
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Holly A McClintock, ARNPNPI 1558656876
Title
Nurse Practitioner/Owner
Phone
(515) 302-8072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

114 N 27TH St
Fort Dodge, IA 50501-4322

Mailing address

114 N 27TH St
Fort Dodge, IA 50501-4322
Phone (515) 302-8072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240913000443 IA Part B Supplier - Clinic/Group Practice 6002356391 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Dodge, IA

National Provider Directory

National Provider Directory

Locations

1728 Central Ave
Ste 14
Fort Dodge, IA 50501
Phone (515) 573-3628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1407250715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-302-8072",
            "fax_number": "515-302-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N 27TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014322",
            "telephone_number": "515-302-8072",
            "fax_number": "515-302-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLINTOCK PSYCHIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "515-302-8072",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.