Active NPI
Nika George, PH.D.
- Psychologist
- Omaha, NE
National Provider Identifier
1053776831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 976
- Practice address
- 139 S 144TH St Ste 216
Omaha, NE 68154-5337 - Phone
- (402) 350-6463
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 976 | NE | Primary |
Addresses
Primary practice location
139 S 144TH St Ste 216
Omaha, NE 68154-5337
Mailing address
139 S 144TH St Ste 216
Omaha, NE 68154-5337
Phone (402) 350-6463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12632 | Other | PSYPACT CERTIFICATION | |
| 976 | Other | NE | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 976 | NE | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1053776831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 S 144TH ST STE 216",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545337",
"telephone_number": "402-350-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 S 144TH ST STE 216",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545337",
"telephone_number": "402-350-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "NIKA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYPACT CERTIFICATION",
"identifier": "12632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "976",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.