NPIMap

Organization Active NPI

Open Arms Psychological Services, LLC

  • Clinical Psychologist
  • Sioux City, IA
National Provider Identifier
1487938643
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001195 Issued in IA
Legal business name
OPEN ARMS PSYCHOLOGICAL SERVICES, LLC
Practice address
4242 Gordon Dr
Suite 101
Sioux City, IA 51106-1376
Phone
(712) 266-5504
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Suzanne Marie Keizer, PSY.D.
Title
Licensed Psychologist
Phone
(712) 266-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 001195 IA Primary

Addresses

Primary practice location

4242 Gordon Dr
Suite 101
Sioux City, IA 51106-1376

Mailing address

4242 Gordon Dr
Suite 101
Sioux City, IA 51106-1376
Phone (712) 266-5504

National Provider Directory

National Provider Directory

Locations

4301 Sergeant Rd
Ste 210
Sioux City, IA 51106
Phone (712) 266-5504

4242 Gordon Dr
Ste 101
Sioux City, IA 51106
Phone (712) 266-5504

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1487938643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 GORDON DR",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061376",
            "telephone_number": "712-266-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 GORDON DR",
            "address_2": "SUITE 101",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061376",
            "telephone_number": "712-266-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "KEIZER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "712-266-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.