NPIMap

Organization Active NPI

State University of Iowa

Doing business as Seashore Psychology Clinic

  • Clinical Psychologist
  • Iowa City, IA
National Provider Identifier
1407975261
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STATE UNIVERSITY OF IOWA
Doing business as
Seashore Psychology Clinic
Practice address
335 E. Jefferson Street
Iowa City, IA 52242
Phone
(319) 335-2467
Fax
(319) 353-2919
NPI assigned
Mar 29, 2007
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE UNIVERSITY OF IOWAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dr. Ke Anne Zhang, PHDNPI 1003292681
Title
Clinical Associate Professor
Phone
(319) 335-2467

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
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

335 E. Jefferson Street
Iowa City, IA 52242

Mailing address

340 Iowa Ave
Iowa City, IA 52242-1210
Phone (319) 335-2467

Other identifiers 1

IdentifierTypeStateIssuer
29078OtherIAPROVIDER NUMBER

Other names 1

  • Seashore Psychology Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David a Krise DDS61 organizations share this tax ID, including this one
Part of
David a Krise DDS

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

311 Seashore Hall E
Iowa City, IA 52242

340 Iowa Ave
Iowa City, IA 52242
Phone (319) 335-2437

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1407975261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 IOWA AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421210",
            "telephone_number": "319-335-2467",
            "fax_number": "319-353-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E. JEFFERSON STREET",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-335-2467",
            "fax_number": "319-353-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE UNIVERSITY OF IOWA",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "KE ANNE",
        "authorized_official_title_or_position": "CLINICAL ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "319-335-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "29078",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seashore Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seashore Psychology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.