Active NPI
David F. Dettmann, PH.D.
- Rehabilitation Psychologist
- Knoxville, IA
National Provider Identifier
1760430672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 00514
- Practice address
- 1515 W Pleasant St
(116B)
Knoxville, IA 50138-3354 - Phone
- (641) 842-3101
- Fax
- (641) 828-5307
- NPI assigned
- May 4, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 00514 | IA | |
| Psychologist | 103T00000X | 00514 | IA | |
| Adult Development & Aging Psychologist | 103TA0700X | 00514 | IA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 00514 | IA | |
| Counseling Psychologist | 103TC1900X | 00514 | IA | |
| Health Service Psychologist | 103TH0100X | 00514 | IA | |
| Group Psychotherapy Psychologist | 103TP2701X | 00514 | IA | |
| Rehabilitation Psychologist | 103TR0400X | 00514 | IA | Primary |
Addresses
Primary practice location
1515 W Pleasant St
(116B)
Knoxville, IA 50138-3354
Mailing address
122 Bluegill CT
Pella, IA 50219-7513
Phone (641) 627-5097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760430672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BLUEGILL CT",
"city": "PELLA",
"state": "IA",
"postal_code": "502197513",
"telephone_number": "641-627-5097",
"fax_number": "641-828-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W PLEASANT ST",
"address_2": "(116B)",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501383354",
"telephone_number": "641-842-3101",
"fax_number": "641-828-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETTMANN",
"first_name": "DAVID",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IA",
"license": "00514",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "IA",
"license": "00514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.