Psychological Consulting & Assessment, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

00771 Issued in IA

Legal business name

PSYCHOLOGICAL CONSULTING & ASSESSMENT, P.C.

Practice address

710 Brunswijk Cir
Pella, IA 50219-7806

Phone

(641) 629-0240

Fax

(641) 628-2760

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard A. Martin, PH.D.

Title

President

Phone

(641) 629-0240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1538408778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BRUNSWIJK CIR",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197806",
            "telephone_number": "641-629-0240",
            "fax_number": "641-628-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BRUNSWIJK CIR",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197806",
            "telephone_number": "641-629-0240",
            "fax_number": "641-628-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTING & ASSESSMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-629-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Jean Pommer
• Richard Dale Posthuma, MD
• Premise Health of Iowa Medical P C
• Premise Health of Iowa Medical P C
• Baylee Nicole Pritchard, OT
• James David Punke, D.C.
• Sheila K Punt, A.R.N.P.
• Julie Diane Purvis, SLP
• Leigh Rasmussen, DDS
• Eric R Recker, D.D.S.

• Psychologist in Pella, IA
• Providers in Pella, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.