Organization Active NPI

Thurman Psychological LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Council Bluffs, IA
National Provider Identifier
1013149178
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
00799 Issued in IA
Legal business name
THURMAN PSYCHOLOGICAL LLC
Practice address
427 E Kanesville Blvd
Suite #406
Council Bluffs, IA 51503-9079
Phone
(402) 715-4321
Fax
(402) 715-4343
NPI assigned
Aug 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Rosanna Marie Jones-Thurman, PHD
Title
Owner/Psychologist
Phone
(402) 715-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00799 IA Primary

Addresses

Primary practice location

427 E Kanesville Blvd
Suite #406
Council Bluffs, IA 51503-9079

Mailing address

6790 Grover St
Suite #100
Omaha, NE 68106-3642
Phone (402) 715-4321

Other identifiers 1

IdentifierTypeStateIssuer
0531582MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000175 NE Part B Supplier - Clinic/Group Practice 7113073198 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6790 Grover St
Ste 100
Omaha, NE 68106
Phone (402) 715-4321

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1013149178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 GROVER ST",
            "address_2": "SUITE #100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063642",
            "telephone_number": "402-715-4321",
            "fax_number": "402-715-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "SUITE #406",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039079",
            "telephone_number": "402-715-4321",
            "fax_number": "402-715-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURMAN PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "JONES-THURMAN",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-715-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "00799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531582",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.