NPIMap

Organization Active NPI

Resources in Psychiatry

  • Clinical Neuropsychologist
  • Des Moines, IA
National Provider Identifier
1891862934
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
02464 Issued in IA
Legal business name
RESOURCES IN PSYCHIATRY
Practice address
1922 Ingersoll Ave Ste 132
Des Moines, IA 50309-3339
Phone
(515) 490-0749
Fax
(515) 280-7786
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Wesley D Richardson, DO
Title
Owner
Phone
(515) 490-0749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 02464 IA Primary

Addresses

Primary practice location

1922 Ingersoll Ave Ste 132
Des Moines, IA 50309-3339

Mailing address

1922 Ingersoll Ave Ste 132
Des Moines, IA 50309-3339
Phone (515) 490-0749

Other identifiers 1

IdentifierTypeStateIssuer
02464OtherIAIA BOARD OF MEDICAL EXAMI

National Provider Directory

National Provider Directory

Locations

1922 Ingersoll Ave
Ste 132
Des Moines, IA 50309
Phone (515) 490-0749

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1891862934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 INGERSOLL AVE STE 132",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093339",
            "telephone_number": "515-490-0749",
            "fax_number": "515-280-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 INGERSOLL AVE STE 132",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093339",
            "telephone_number": "515-490-0749",
            "fax_number": "515-280-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCES IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-490-0749",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "02464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA BOARD OF MEDICAL EXAMI",
            "identifier": "02464",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.