Prism Psychiatric Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRISM PSYCHIATRIC GROUP LLC

Practice address

1214 Dina CT Ste a
Hiawatha, IA 52233-4706

Phone

(319) 405-0805

Fax

(319) 774-0348

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Pladsen, LMFTNPI 1518229483

Title

Owner

Phone

(319) 405-0805

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica M Pladsen, LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1518229483
  NPD Authorized official
• Kelsey Lamb, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hiawatha, IA
  • NPI 1750800207

  Psychiatric/Mental Health

  NPD
• Michael Angelo Mendoza, LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1447128756
  NPD
• Nico Mackenzee Zvacek, T-LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1992574107
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1821870908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 DINA CT STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-405-0805",
            "fax_number": "319-774-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 DINA CT STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-405-0805",
            "fax_number": "319-774-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM PSYCHIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "PLADSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-405-0805",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley Ploessl
• Podiatry Specialists of Iowa PC
• Sara Pollock, PT
• Heidi Powers
• Lindsay Powers, MS
• Prism Therapy Group LLC
• Proactive Pediatric Therapy, LLC
• Professional Security Corporation
• Promise House Hiawatha Inc.
• Brian David Ray, DO

• All providers in Hiawatha, IA
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.