Mary Nii Munteh, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

076868 Issued in IA

Practice address

4720 Mortensen Rd Ste 104
Ames, IA 50014-5534

Phone

(515) 292-9251

Fax

(844) 895-6179

NPI assigned

Jun 26, 2018

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ames Psychological Wellness Center, PLC

  • Counseling Psychologist
  • Ames, IA
  • NPI 1861931131
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1588159271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 LINCOLN WAY STE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143616",
            "telephone_number": "515-726-3400",
            "fax_number": "515-726-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 MORTENSEN RD STE 104",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500145534",
            "telephone_number": "515-292-9251",
            "fax_number": "844-895-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NII MUNTEH",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "076868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nicholson, RD
• Saralynn Niealsen
• Leslie Michelle Niebauer
• Jason Patrick Niegsch, DDS
• Elizabeth Ann Niemann
• Ellyn Nitchals-Kellner
• Tisha Sue Njos
• Lisa Nolting
• Northland Hearing Centers, Inc (Hearing Services of Iowa)
• Northland Hearing Centers, Inc. (Hearing Unlimited)

• Clinical Psychologist in Ames, IA
• Providers in Ames, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.