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NPI 1104457126 · Psychiatry Physician · Ankeny, IA
Provider details
- NPI number
- 1104457126
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Smith, Ceo(855) 711-4867
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1517 N Ankeny Blvd Ste F
Ankeny, IA 50023-4120
Phone: (855) 711-4867
Fax: (413) 341-5954
Approximate (ZIP-level) locationGet directions
Mailing address
1517 N. Ankeny Blvd.
Ankeny, IA 50023
Additional practice locations (2)
- 9 E Southridge Rd Ste EMarshalltown, IA 50158-4550Phone: (855) 711-4867
- 505 5th St Ste 433Sioux City, IA 51101-1507Phone: (855) 711-4867
Registry dates
- Enumerated
- 2020-01-29
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.