CARISSA R GEHL (NPI# 1780872374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780872374 |
| Entity Type | Individual |
| Full Name | CARISSA R GEHL |
| Other Name | CARISSA R NEHL |
| Credential | PHD |
| Practice Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3193536963 |
| Practice Fax Number | 3193562587 |
| Mailing Telephone | 3193536963 |
| Mailing Fax Number | 3193562587 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 001204 | IA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | LP5020 | MN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 001204 | IA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP5020 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
200 HAWKINS DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425963 | Matthew T Spragg | Emergency Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-05-24 |
| 1205437951 | Jennifer Renee Manternach | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-07 |
| 1144821794 | Jannet S Eastman | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-11-02 |
| 1043810245 | Abbey Lorraine Foglesong | Dietitian, Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-27 |
| 1972101533 | Lindy Pelzer | Nurse Practitioner | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-15 |
| 1124626437 | Georgianne Younger | Genetic Counselor, MS | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-10-09 |
| 1114534237 | Bharatendu Chandra | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1023625142 | Moon Ley Tung | Medical Genetics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1225645187 | Sinan Akay | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-24 |
| 1376158170 | Aygun Asgarli | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508200064 | Thomasin Elena Mccoy | Clinical Neuropsychologist | 325 E Washington St Ste 205, Iowa City, IA 52240-3959 | 2013-04-26 |
| 1912189903 | Nils Roberts Varney | Clinical Neuropsychologist | 48 Camborne Cir, Iowa City, IA 52245-1540 | 2007-11-30 |
| 1720270002 | Letitia P. Libman | Clinical Neuropsychologist | 741 Dearborn St, Iowa City, IA 52240-6218 | 2007-08-10 |
| 1578089892 | Janina Marie Kamm | Clinical Neuropsychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-08-17 |
| 1336697085 | Kristen Caraher | Clinical Neuropsychologist | 200 Hawkins Dr, Department of Psychiatry, Iowa City, IA 52242-1009 | 2016-09-12 |
| 1215298179 | Eric John Waldron | Clinical Neuropsychologist | 200 Hawkins Dr, 2007 Rcp, Iowa City, IA 52242-1009 | 2012-06-06 |
| 1871805838 | Matthew J. O'brien | Clinical Neuropsychologist | 100 Hawkins Dr, Center for Disabilities and Development, Iowa City, IA 52242-1016 | 2010-07-07 |
| 1619112430 | Dennis Carlin Harper | Clinical Neuropsychologist | 373 Scott Ct, Ste A, Iowa City, IA 52245-3952 | 2008-12-08 |
| 1861656852 | Scott David Lindgren | Clinical Neuropsychologist | 200 Hawkins Dr, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009 | 2008-07-18 |
| 1982890240 | Angela L Smith | Clinical Neuropsychologist | 100 Hawkins Dr, Uihc, Iowa City, IA 52240 | 2007-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.