Lori L Wall, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

460 Issued in NE

Practice address

319 S 14TH St Ste 3
Seward, NE 68434

Phone

(402) 435-3353

Fax

(402) 643-2315

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lincoln Medical Education Partnership

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1891703708
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527292800000",
    "number": "1124058375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S 14TH ST STE 3",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342320",
            "telephone_number": "402-435-3353",
            "fax_number": "402-643-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S 14TH ST STE 3",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "68434",
            "telephone_number": "402-435-3353",
            "fax_number": "402-643-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-083295526",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynsey Marie Valenti, RDH, BS, OMT
• Laura Jean Vandenberg, LADC
• Melissa Ann Vanderslice
• Allan Paul Vasconcellos, PHD
• VSL Seward LLC
• Robert W. Wall, M.D.
• Whitney Lea Wallace, COTA/L
• Walmart Inc.
• Makylee Webster
• Kailey Lynn Weichel, PT, DPT

• All providers in Seward, NE
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.