Organization Active NPI

Jad PLLC

  • Adult Mental Health Clinic/Center
  • Ames, IA
National Provider Identifier
1497228019
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JAD PLLC
Practice address
2515 University Blvd Ste 2
Ames, IA 50010-8628
Phone
(515) 451-3895
Fax
(515) 598-7800
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Dr. Joyce Elaine Davidson, PHD
Title
Sole Owner
Phone
(515) 451-3895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2515 University Blvd Ste 2
Ames, IA 50010-8628

Mailing address

2515 University Blvd Ste 2
Ames, IA 50010-8628
Phone (515) 451-3895

National Provider Directory

National Provider Directory

Locations

2515 University Blvd
Ste 2
Ames, IA 50010
Phone (515) 451-3895

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1497228019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 UNIVERSITY BLVD STE 2",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108628",
            "telephone_number": "515-451-3895",
            "fax_number": "515-598-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 UNIVERSITY BLVD STE 2",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108628",
            "telephone_number": "515-451-3895",
            "fax_number": "515-598-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "515-451-3895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.