Kathryn E. Wierda, PH.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

084157 Issued in IA

Legal business name

KATHRYN E. WIERDA, PH.D., PLLC

Practice address

4401 Westown Pkwy Unit 394
West Des Moines, IA 50266-6721

Phone

(515) 777-3388

Fax

(515) 777-3387

NPI assigned

Mar 30, 2018

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn WierdaNPI 1346746369

Title

Owner

Phone

(515) 777-3388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Kathryn Wierda, PH.D.

  • Psychologist
  • West Des Moines, IA
  • NPI 1346746369
  Authorized official Same address or phone
• Danah Barazanji, PHD

  • Counseling Psychologist
  • West Des Moines, IA
  • NPI 1952743106
  NPD (past)
• Catalina D'Achiardi-Ressler, PH.D.

  • Psychologist
  • West Des Moines, IA
  • NPI 1750689048
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1427554443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY UNIT 394",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666721",
            "telephone_number": "515-777-3388",
            "fax_number": "515-777-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WESTOWN PKWY UNIT 394",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666721",
            "telephone_number": "515-777-3388",
            "fax_number": "515-777-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 76th St Unit 3030",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502665913",
            "country_code": "US",
            "telephone_number": "515-777-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHRYN E. WIERDA, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "WIERDA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-777-3388"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "084157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angie Lynn Keegan, RD

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.