Active NPI
Thomas Robert Cardwell, PSYCHOLOGIST
- Counseling Psychologist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 610
- Practice address
- 2300 S 16TH St
Lincoln, NE 68502-3704 - Phone
- (402) 481-5454
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 610 | NE | Primary |
Addresses
Primary practice location
2300 S 16TH St
Lincoln, NE 68502-3704
Mailing address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 481-5454
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.bryanhealth.com/clp-bariatrics/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220308002545 | NE | Practitioner - Clinical Psychologist | 7618361676 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bryan Medical Center
Practice addresses (Care Compare)
2221 S 17TH St
201 Bryan Medical Center Counseling Center
Lincoln, NE 68502-3700
Phone (402) 481-5991
2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Medical Center | Counseling | Current | Accepting new patients |
| Bryan Medical Center | Current | Accepting new patients | |
| Bryan Medical Center | Current | Accepting new patients |
Locations
1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1003572249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 16TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023704",
"telephone_number": "402-481-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDWELL",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NE",
"license": "610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.bryanhealth.com/clp-bariatrics/",
"affiliation": "N",
"endpointDescription": "Bryan Medical Center Counseling Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health and Mental Health Information",
"address_1": "2300 S0. 16th St.",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685023780",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.