Wise Mind Iowa, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WISE MIND IOWA, LLC

Practice address

1223 Oakes Drive
Iowa City, IA 52245

Phone

(319) 541-6198

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

James Daniel Burkhalter, LISW

Title

Ceo

Phone

(319) 541-6198

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Victoria Grace Brennan, LMSW

  • Clinical Social Worker
  • Iowa City, IA
  • NPI 1689391534

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1750023222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 OAKES DRIVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-541-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 OAKES DRIVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-541-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND IOWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BURKHALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-541-6198",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Paige Wingrove, DDS
• Devin Winkler, MD
• Rebecca Winnike, CNM
• Patricia Lee Winokur, MD
• Dennis Martin Winter, DDS
• Kelly L Wise, ED. S.
• Sara E Wise, PHD
• Nathaniel David Wisecup, AU.D.
• Amy Londergan Wiser, M.D.
• Anne Karin Wiser, LMSW

• Psychiatry Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.