NPIMap

Organization Active NPI

Psycho-Oncology,Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1134487317
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110789 Issued in NE
Legal business name
PSYCHO-ONCOLOGY,INC
Practice address
7205 W Center Rd
100
Omaha, NE 68124-2380
Phone
(402) 504-3714
Fax
(402) 504-3714
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Barbara Kay Clinkenbeard, MS,NP
Title
Nurse Practitioner
Phone
(402) 504-3714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110789 NE Primary

Addresses

Primary practice location

7205 W Center Rd
100
Omaha, NE 68124-2380

Mailing address

7205 W Center Rd
100
Omaha, NE 68124-2380
Phone (402) 504-3714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1134487317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD",
            "address_2": "100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242380",
            "telephone_number": "402-504-3714",
            "fax_number": "402-504-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD",
            "address_2": "100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242380",
            "telephone_number": "402-504-3714",
            "fax_number": "402-504-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHO-ONCOLOGY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "CLINKENBEARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-504-3714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110789",
            "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 Apr 25, 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.

Verify at the official NPI Registry.