Active NPI
The Stephanos Group, LLC
- Clinical Psychologist
- Omaha, NE
National Provider Identifier
1104976786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 459
- Legal business name
- THE STEPHANOS GROUP, LLC
- Practice address
- 15555 W Dodge Rd
Omaha, NE 68154-2070 - Phone
- (402) 650-3100
- NPI assigned
- Jan 12, 2007
- Last updated
- Jan 30, 2012
- 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. Deborah Hoffman, PSYD
- Title
- Owner
- Phone
- (402) 650-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 459 | NE | Primary |
Addresses
Primary practice location
15555 W Dodge Rd
Omaha, NE 68154-2070
Mailing address
PO Box 540201
Omaha, NE 68154-0201
Phone (402) 650-3100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Omaha, NE
- NPI 1164635397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327881600000",
"number": "1104976786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540201",
"city": "OMAHA",
"state": "NE",
"postal_code": "681540201",
"telephone_number": "402-650-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15555 W DODGE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542070",
"telephone_number": "402-650-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE STEPHANOS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2012-01-30",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-650-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.