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DERICK N MBACHAM PMHNP
NPI 1891637914
Nurse Practitioner - Psychiatric/Mental Health in Ankeny, IA

Active since April 07, 2026
208 NW DRIFTWOOD CT, ANKENY, IA 50023(515) 525-5369 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derick N Mbacham Pmhnp NPPES

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

DERICK N MBACHAM PMHNP (NPI 1891637914) is an individual psychiatric/mental health provider in Ankeny, Iowa, licensed in Iowa (G190613) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1891637914
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDERICK N MBACHAMCredential: PMHNP
Location Address208 NW DRIFTWOOD CTAnkeny, IA 50023-6817
Mailing Address208 Nw Driftwood CtAnkeny, IA 50023-6817 · (515) 525-5369
Phone(515) 525-5369
Sole ProprietorYes
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1891637914 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
License✔ Licensed in IA · G190613
208 NW DRIFTWOOD CT, Ankeny, IA 50023
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REHMA PROVIDER HEALTHCARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
208 NW DRIFTWOOD CT
ANKENY, IA 50023
Polk County (202) 389-7059
PASSION HEALTH CARE PROVIDER LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
208 NW DRIFTWOOD CT
ANKENY, IA 50023
Polk County (515) 525-5369
HARMONY HAVEN LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
208 NW DRIFTWOOD CT
ANKENY, IA 50023
Polk County (515) 525-5369

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 Derick Mbacham's NPI number?

The NPI number for Derick Mbacham is 1891637914. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Derick Mbacham located?

Derick Mbacham practices at 208 NW Driftwood Ct, Ankeny, IA 50023. The listed phone number is (515) 525-5369.

What is Derick Mbacham'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 Derick Mbacham was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.