Shari Marie Conner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

538 Issued in NE

Practice address

8710 Frederick St Ste 101
Omaha, NE 68124-3061

Phone

(402) 871-4474

Fax

(402) 998-5260

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

Yes

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.

• Conner Psychological Services PC

  • Clinical Psychologist
  • Omaha, NE
  • NPI 1740748334

  NE

  Medicare reassignment Authorized official

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2020.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1124030242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 FREDERICK ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243061",
            "telephone_number": "402-871-4474",
            "fax_number": "402-998-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 FREDERICK ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243061",
            "telephone_number": "402-871-4474",
            "fax_number": "402-998-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "SHARI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025097700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS NUMBER",
            "identifier": "260094000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE NUMBER",
            "identifier": "35902",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "478252",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie J Conner
• Carly Conner
• Laynee Ann Conner
• Linda Conner
• Nicole R Conner, LIMHP
• Stephen Conner, DPT
• Timothy A. Conner, M.D.
• Korrie Conners, MS, PLMHP
• Shaun Paul Connley, D.C.
• Eileen T Connolly-Inda, MD

• All providers in Omaha, NE
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.