Active NPI
Bethink
- Psychologist
- Sioux City, IA
National Provider Identifier
1801400155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BETHINK
- Practice address
- 4280 Sergeant Rd Ste 225
Sioux City, IA 51106-4634 - Phone
- (712) 202-2255
- Fax
- (712) 202-2989
- NPI assigned
- Sep 3, 2020
- 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
- Dr. Annie Stachowitz, PHD
- Title
- Member
- Phone
- (712) 202-2255
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4280 Sergeant Rd Ste 225
Sioux City, IA 51106-4634
Mailing address
4280 Sergeant Rd Ste 225
Sioux City, IA 51106-4634
Phone (712) 202-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230804002912 | IA | Part B Supplier - Clinic/Group Practice | 2466813522 |
Receives reassigned benefits from 3 practitioners Practice locations: Sioux City, IA |
National Provider Directory
National Provider DirectoryLocations
4280 Sergeant Rd
Ste 225
Sioux City, IA 51106
Phone (712) 202-2255
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Sioux City, IA
- NPI 1013416874
-
- School Psychologist
- Sioux City, IA
- NPI 1033003876
-
- Psychiatric/Mental Health Nurse Practitioner
- Sioux City, IA
- NPI 1013516566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1801400155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 SERGEANT RD STE 225",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064634",
"telephone_number": "712-202-2255",
"fax_number": "712-202-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 SERGEANT RD STE 225",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064634",
"telephone_number": "712-202-2255",
"fax_number": "712-202-2989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHINK",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "STACHOWITZ",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "712-202-2255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.