Stacie R. Spies-Matz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

529 Issued in NE

Practice address

11414 W Center Rd
Suite 220
Omaha, NE 68144-4486

Phone

(402) 330-4014

Fax

(402) 334-2930

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kids Inc.

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1578648697
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023185501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 S 99TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242609",
            "telephone_number": "402-926-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 220",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-330-4014",
            "fax_number": "402-334-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIES-MATZ",
        "first_name": "STACIE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Emily Spethman, MD
• Tearra Spevak
• Robert L Spicer, M.D.
• Terra Spiehs-Garst, RN
• Elizabeth Carole Spieler, PT
• Camille Spigner
• Corey J Spigner
• Jessica Spiker
• Ty Spillman, MD
• Fabiola Spinar

• Clinical Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.