Active NPI
Neelam Siddiq Thomas PLC
- Psychiatric/Mental Health Nurse Practitioner
- Waterloo, IA
National Provider Identifier
1790429926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NEELAM SIDDIQ THOMAS PLC
- Doing business as
- NST Behavioral Health
NST Behavioral Health (DBA), Neelam Siddiq Thomas PLC - Practice address
- 531 Commercial St Ste 700
Waterloo, IA 50701-5443 - Phone
- (515) 209-5009
- Fax
- (319) 253-3954
- NPI assigned
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neelam Siddiq Thomas, ARNP
- Title
- Arnp
- Phone
- (515) 209-5009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
531 Commercial St Ste 700
Waterloo, IA 50701-5443
Mailing address
531 Commercial St Ste 700
Waterloo, IA 50701-5443
Phone (515) 209-5009
Other names 2
- NST Behavioral Health
- NST Behavioral Health (DBA), Neelam Siddiq Thomas PLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | neelam@nstbehavioralhealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1219 S Frederick Ave
Ste B
Oelwein, IA 50662
Phone (319) 330-7705
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterloo, IA
- NPI 1598311656
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterloo, IA
- NPI 1134712821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1790429926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 COMMERCIAL ST STE 700",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015443",
"telephone_number": "515-209-5009",
"fax_number": "319-540-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 COMMERCIAL ST STE 700",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015443",
"telephone_number": "515-209-5009",
"fax_number": "319-253-3954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEELAM SIDDIQ THOMAS PLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2024-03-14",
"certification_date": "2023-10-16",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "NEELAM",
"authorized_official_middle_name": "SIDDIQ",
"authorized_official_title_or_position": "ARNP",
"authorized_official_telephone_number": "515-209-5009",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neelam@nstbehavioralhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "531 Commercial St Ste 700",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507015443",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NST Behavioral Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NST Behavioral Health (DBA), Neelam Siddiq Thomas PLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 14, 2024; 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.