Healthcare Provider Details

I. General information

NPI: 1730090317
Provider Name (Legal Business Name): PERFORMANCE PSYCHIATRIC CONSULTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 E 53RD ST
DAVENPORT IA
52807
US

IV. Provider business mailing address

308 E BURLINGTON ST # 1012
IOWA CITY IA
52240-1602
US

V. Phone/Fax

Practice location:
  • Phone: 309-230-9589
  • Fax:
Mailing address:
  • Phone: 309-230-9589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY STEWART NORTON
Title or Position: OWNER
Credential: PMHNP
Phone: 309-230-9589