Organization Active NPI

Integrated Psychiatry PLLC

  • Psychiatry Physician
  • Clive, IA
National Provider Identifier
1639840606
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRATED PSYCHIATRY PLLC
Practice address
9550 Hickman Rd Ste 101
Clive, IA 50325-5314
Phone
(515) 758-8300
Fax
(515) 758-8600
NPI assigned
Sep 21, 2021
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Johanna M Hesseltine, ARNP, PMHNPNPI 1730841404
Title
Co-Owner
Phone
(515) 758-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9550 Hickman Rd Ste 101
Clive, IA 50325-5314

Mailing address

9550 Hickman Rd Ste 101
Clive, IA 50325-5314
Phone (515) 758-8300

National Provider Directory

National Provider Directory

Locations

1350 NW 138th St
Clive, IA 50325

9550 Hickman Rd
Ste 101
Clive, IA 50325
Phone (515) 758-8300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1639840606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 HICKMAN RD STE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255314",
            "telephone_number": "515-758-8300",
            "fax_number": "515-758-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 HICKMAN RD STE 101",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503255314",
            "telephone_number": "515-758-8300",
            "fax_number": "515-758-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "HESSELTINE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "515-758-8300",
        "authorized_official_credential": "ARNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.