NPI 1194860593 · live from the CMS NPI Registry
Kevin Berryman, LP
Psychologist, Clinical in Omaha, NE. National Provider Identifier 1194860593, active.
NPI record
| NPI | 1194860593 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 11905 Arbor St, Omaha, NE 68144 |
| Practice phone | 402-522-6502 |
| Mailing address | 5821 Charles St, Omaha, NE 68132 |
| Enumerated | February 21, 2007 |
| Last updated | July 27, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1086 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.