Organization Active NPI

Neelam Siddiq Thomas PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1790429926
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Neelam Siddiq Thomas, ARNPNPI 1598311656
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as
  • NST Behavioral Health (DBA), Neelam Siddiq Thomas PLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neelam@nstbehavioralhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518000191 IA Part B Supplier - Clinic/Group Practice 7618354341 Receives reassigned benefits from 2 practitioners
Practice locations: Oelwein, IA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.