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MCCLINTOCK PSYCHIATRY SERVICES LLC
NPI 1407250715
Nurse Practitioner - Psychiatric/Mental Health in Fort Dodge, IA

Active since October 15, 2014
114 N 27TH ST, FORT DODGE, IA 50501(515) 302-8072(515) 302-8076 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, Aug 5, 2025, Aug 9, 2024 (3 updates tracked since 2024).

About Mcclintock Psychiatry Services Llc NPPES

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

MCCLINTOCK PSYCHIATRY SERVICES LLC (NPI 1407250715) is a healthcare organization registered as a psychiatric/mental health in Fort Dodge, Iowa and active in the NPI registry since October 2014. The organization lists Holly A Mcclintock, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1407250715
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMCCLINTOCK PSYCHIATRY SERVICES LLC
Location Address114 N 27TH STFort Dodge, IA 50501-4322
Mailing Address114 N 27th StFort Dodge, IA 50501-4322 · (515) 302-8072 · Fax (515) 302-8076
Phone(515) 302-8072
Fax(515) 302-8076
Organization SubpartNo
Authorized OfficialHolly A McclintockNurse Practitioner/owner · (515) 302-8072
Enumeration DateOctober 15, 2014
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1407250715 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
114 N 27TH ST, Fort Dodge, IA 50501
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcclintock Psychiatry Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mcclintock Psychiatry Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Holly Mcclintock, ARNP
Nurse Practitioner
NPI 1558656876
114 N 27TH ST
Fort Dodge, IA 50501
(515) 302-8072
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mcclintock Psychiatry Services LLC's NPI number?

The NPI number for Mcclintock Psychiatry Services LLC is 1407250715. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Mcclintock Psychiatry Services LLC located?

Mcclintock Psychiatry Services LLC is located at 114 N 27th St, Fort Dodge, IA 50501. The listed phone number is (515) 302-8072.

What is Mcclintock Psychiatry Services LLC's specialty?

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

Is Mcclintock Psychiatry Services LLC enrolled in Medicare?

Yes. Mcclintock Psychiatry Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcclintock Psychiatry Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mcclintock Psychiatry Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mcclintock Psychiatry Services LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.