NPI 1043643547 · live from the CMS NPI Registry
Alegent Creighton Health
Psychologist in Omaha, NE. National Provider Identifier 1043643547, active.
NPI record
| NPI | 1043643547 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 6901 N 72nd St, Omaha, NE 68122 |
| Practice phone | 402-572-2919 |
| Mailing address | Po Box 642117, Omaha, NE 68164 |
| Enumerated | August 20, 2013 |
| Last updated | February 10, 2022 |
| Authorized official | Evert Kuiper, Ceo |
| Other names | Alegent Creighton Health PHD/Msw Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Counselor, School | 101YS0200X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.