Healthcare Provider Details
I. General information
NPI: 1205782513
Provider Name (Legal Business Name): PSYCHIATRIC CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
950 OFFICE PARK RD STE 221
WEST DES MOINES IA
50265-2548
US
IV. Provider business mailing address
7901 4TH ST N # 32023
ST PETERSBURG FL
33702-4305
US
V. Phone/Fax
- Phone: 515-654-6422
- Fax:
- Phone: 515-654-6422
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELANIE
KIM
GRAMLING
Title or Position: OWNER
Credential: ARNP, PMHNP-BC
Phone: 515-654-6422