Individual provider Active NPI

Joseph Bardeen, PHD

  • Clinical Psychologist
  • West Des Moines, IA
National Provider Identifier
1760005904
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1962 Issued in AL
Practice address
1454 30TH St Ste 101
West Des Moines, IA 50266-1311
Phone
(515) 216-0626
NPI assigned
May 22, 2020
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1962 AL
Clinical Psychologist 103TC0700X 1962 AL Primary

Addresses

Primary practice location

1454 30TH St Ste 101
West Des Moines, IA 50266-1311

Mailing address

1454 30TH St Ste 101
West Des Moines, IA 50266-1311
Phone (515) 216-0626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 2, 2023 through Mar 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1962ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety & Ocd Treatment Services, PLLC Clinical CurrentSince May 24, 2020 Accepting new patients

Locations

1454 30th St
Ste 101
West Des Moines, IA 50266
Phone (515) 216-0626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1760005904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 30TH ST STE 101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661311",
            "telephone_number": "515-216-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 30TH ST STE 101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661311",
            "telephone_number": "515-216-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDEEN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1962",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.