Two Rivers Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

TWO RIVERS NEUROPSYCHOLOGY LLC

Practice address

2961 100TH St Ste 3
Urbandale, IA 50322-5505

Phone

(515) 220-2747

Fax

(515) 335-0247

NPI assigned

Jul 29, 2024

Last updated

May 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Rivers, PHD, LPNPI 1437748266

Title

Member/ Clinical Neuropsychologist

Phone

(515) 220-2747

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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.

• Crystal Rivers, PHD, LP

  • Clinical Neuropsychologist
  • Urbandale, IA
  • NPI 1437748266
  Medicare reassignment NPD Authorized official
• Warren H Phillips, PH, D.

  • Psychologist
  • Minneapolis, MN
  • NPI 1083705917

  Clinical

  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1679302608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 78TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 100TH ST STE 3",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225505",
            "telephone_number": "515-220-2747",
            "fax_number": "515-335-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MEMBER/ CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "515-220-2747",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Clinical Neuropsychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.