Organization Active NPI

Elemental Emdr & More, PC

  • Clinical Social Worker
  • Ankeny, IA
National Provider Identifier
1861271470
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELEMENTAL EMDR & MORE, PC
Practice address
2425 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4722
Phone
(515) 520-9378
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Delphine Linda Weiss, LISWNPI 1679133169
Title
President
Phone
(515) 520-9378

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2425 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4722

Mailing address

12051 Lincoln Ave
Clive, IA 50325-8226
Phone (515) 520-9378

Other practice location 1

9295 Bishop Dr Ste 105
West Des Moines, IA 50266-1649
Phone (515) 520-9378

National Provider Directory

National Provider Directory

Locations

2425 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 489-4602

Practitioners & affiliated clinicians

Practitioners 1

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1861271470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 LINCOLN AVE",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258226",
            "telephone_number": "515-520-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N ANKENY BLVD STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234722",
            "telephone_number": "515-520-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9295 Bishop Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661649",
            "country_code": "US",
            "telephone_number": "515-520-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEMENTAL EMDR & MORE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-520-9378",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.