Active NPI
Thomas Janousek, PSYD
- Clinical Psychologist
- Lincoln, NE
National Provider Identifier
1093184202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2015032945
- Practice address
- 5401 South St
Lincoln, NE 68506-2150 - Phone
- (402) 413-3555
- NPI assigned
- Sep 17, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2015032945 | MO | Primary |
Addresses
Primary practice location
5401 South St
Lincoln, NE 68506-2150
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1093184202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOUSEK",
"first_name": "THOMAS",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2021-03-29",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2015032945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.