Organization Active NPI

Mentem Psychiatry, PLLC

  • Adult Mental Health Clinic/Center
  • Waterloo, IA
National Provider Identifier
1730861964
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MENTEM PSYCHIATRY, PLLC
Practice address
315 E 5TH St Ste 202
Waterloo, IA 50703-4757
Phone
(515) 681-5415
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Kelsey Andresen, ARNPNPI 1245988914
Title
Arnp
Phone
(515) 681-5415

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

315 E 5TH St Ste 202
Waterloo, IA 50703-4757

Mailing address

315 E 5TH St Ste 202
Waterloo, IA 50703-4757

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1730861964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST STE 202",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST STE 202",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034757",
            "telephone_number": "515-681-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTEM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ANDRESEN",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "515-681-5415",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.