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HEARTLAND HEALTHCARE PSYCHIATRY, LLC
NPI 1174139950
Nurse Practitioner - Psychiatric/Mental Health in North Liberty, IA

Active since September 17, 2020
455 N ORTHMCKENZIE LANE, NORTH LIBERTY, IA 52317(319) 471-2479(877) 756-4974 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heartland Healthcare Psychiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND HEALTHCARE PSYCHIATRY, LLC (NPI 1174139950) is a healthcare organization registered as a psychiatric/mental health in North Liberty, Iowa and active in the NPI registry since September 2020. The organization lists Robert William Detlefsen, Dr. Robert Detlefsen, Dnp, as its authorized official.

NPPES Registry Identity

NPI1174139950
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEARTLAND HEALTHCARE PSYCHIATRY, LLC
Location Address455 N ORTHMCKENZIE LANENorth Liberty, IA 52317-8901
Mailing Address455 N Orthmckenzie LaneNorth Liberty, IA 52317-8901 · (319) 471-2479 · Fax (877) 756-4974
Phone(319) 471-2479
Fax(877) 756-4974
Organization SubpartNo
Authorized OfficialRobert William DetlefsenDr. Robert Detlefsen, Dnp · (319) 471-2479
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1174139950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
455 N ORTHMCKENZIE LANE, North Liberty, IA 52317
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Healthcare Psychiatry, LLC's NPI number?

The NPI number for Heartland Healthcare Psychiatry, LLC is 1174139950. It was assigned to this organization in the NPPES registry on September 17, 2020.

Where is Heartland Healthcare Psychiatry, LLC located?

Heartland Healthcare Psychiatry, LLC is located at 455 N Orthmckenzie Lane, North Liberty, IA 52317. The listed phone number is (319) 471-2479.

What is Heartland Healthcare Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Heartland Healthcare Psychiatry, LLC was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.