Pelz Clinic, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1067 Issued in IA

Legal business name

PELZ CLINIC, LLC

Practice address

206 W Church St
Marshalltown, IA 50158-2737

Phone

(641) 691-1166

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Pelz, PSYD

Title

Chief Executive Member

Phone

(641) 691-1166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1487984373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582737",
            "telephone_number": "641-691-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582737",
            "telephone_number": "641-691-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELZ CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "PELZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MEMBER",
        "authorized_official_telephone_number": "641-691-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejal Patel, DMD
• Jill M Paulsen, CRNA
• Angela Rae Paxson
• Jenissa Peart, TLHMC
• Gary A. Peasley, M.D.
• Sarah Perry
• Nancy Peterson, LMHC
• Robert R Peterson, D.D.S.
• Phipps Chiropractic Center
• Larry E Phipps

• Community/Behavioral Health Agency in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.