Winslow Clinic PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

001037 Issued in IA

Legal business name

WINSLOW CLINIC PLLC

Practice address

411 10TH St SE
Suite 150
Cedar Rapids, IA 52403-2442

Phone

(319) 491-6868

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Winslow Jasper, PH.D.

Title

Owner

Phone

(319) 491-6868

Specialties & licenses 1

Addresses

Other names 1

• The Winslow Clinic, PLLC Doing business as

Locations

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1497079156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 SWALLOW CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022664",
            "telephone_number": "319-491-6868",
            "fax_number": "319-265-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 10TH ST SE",
            "address_2": "SUITE 150",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032442",
            "telephone_number": "319-491-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WINSLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-491-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "001037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Winslow Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Camille Wilson, DDS
• Shannon Marie Wilson, LMHC, CRC, CADC
• Stephanie Wilson, DNP
• Timothy Van Winegarden, DDS, MSD
• Jamie Wingert, MA, LMHCT
• Christine M Winter-Rundell, O.D., FCOVD
• Kenneth Winter
• Ashton Wisneski
• Bradford Wisnousky, DO
• Timothy Witalka, M.D.

• Clinical Neuropsychologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Neuropsychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.