Active NPI
Thurman Psychological LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Council Bluffs, IA
National Provider Identifier
1013149178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 00799
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0531582 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.