Organization Active NPI

Strategic Psychological Services, LLC

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1003341512
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
853 Issued in NE
Legal business name
STRATEGIC PSYCHOLOGICAL SERVICES, LLC
Practice address
5561 S 48TH St
Ste 201G
Lincoln, NE 68516-4109
Phone
(402) 858-7774
Fax
(402) 480-7192
NPI assigned
Apr 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amanda Holmgreen, PSY.DNPI 1497296974
Title
Psychologist/Owner
Phone
(402) 858-7774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 853 NE Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 853 NE
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 853 NE

Addresses

Primary practice location

5561 S 48TH St
Ste 201G
Lincoln, NE 68516-4109

Mailing address

PO Box 22571
Lincoln, NE 68542-2571
Phone (402) 858-7774

National Provider Directory

National Provider Directory

Locations

5561 S 48th St
Ste 201G
Lincoln, NE 68516
Phone (402) 858-7774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492819200000",
    "number": "1003341512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22571",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685422571",
            "telephone_number": "402-858-7774",
            "fax_number": "402-480-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 S 48TH ST",
            "address_2": "STE 201G",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164109",
            "telephone_number": "402-858-7774",
            "fax_number": "402-480-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A",
        "authorized_official_last_name": "HOLMGREEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "402-858-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "853",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NE",
            "license": "853",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NE",
            "license": "853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.