NPI Code Details Logo

NPI 1316899222

NPI 1316899222 : COGNITIVE ASSESSMENT AND CONSULTING, PLLC : WEST DES MOINES, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316899222
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COGNITIVE ASSESSMENT AND CONSULTING, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/12/2026
-----------------------------------------------------
    Last Update Date     |    02/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5000 WESTOWN PKWY STE 358 
-----------------------------------------------------
    City                 |    WEST DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50266-5921
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    262-408-0286
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5000 WESTOWN PKWY STE 358 
-----------------------------------------------------
    City                 |    WEST DES MOINES
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50266-5921
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    262-408-0286
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PSYCHOLOGIST
-----------------------------------------------------
    Name                 |    DR. EVAN ROBERT BUIKEMA 
-----------------------------------------------------
    Credential           |    PSYD
-----------------------------------------------------
    Telephone            |    262-408-0286
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.