Individual provider Active NPI

John Charles Hunziker, PH.D.

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1063491512
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
70 Issued in NE
Practice address
7701 Pacific Street
Suite 318
Omaha, NE 68114-5480
Phone
(402) 926-2584
Fax
(402) 391-1646
NPI assigned
Jan 12, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 70 NE Primary

Addresses

Primary practice location

7701 Pacific Street
Suite 318
Omaha, NE 68114-5480

Mailing address

7701 Pacific Street
Suite 318
Omaha, NE 68114-5480
Phone (402) 926-2584

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

LicenseStateTypeSpecialty
70NEMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1063491512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC STREET",
            "address_2": "SUITE 318",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-926-2584",
            "fax_number": "402-391-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 PACIFIC STREET",
            "address_2": "SUITE 318",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681145480",
            "telephone_number": "402-926-2584",
            "fax_number": "402-391-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNZIKER",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "70",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2011; 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.