Active NPI
Leland Carl Zlomke, PH.D.
- Psychologist
- Beatrice, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 110 N 9TH St
Beatrice, NE 68310-4009 - Phone
- (402) 483-6990
- Fax
- (402) 483-7045
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Forensic Psychologist | 103TF0200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X |
Addresses
Primary practice location
110 N 9TH St
Beatrice, NE 68310-4009
Mailing address
5321 S 78TH St
Lincoln, NE 68516-6356
Phone (402) 806-1700
Other practice location 1
4545 S 86th St
Lincoln, NE 68526-9227
Phone (402) 483-6990
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245672 | Other | NE | MIDLANDS CHOICE |
| P00963834 | Other | NE | MEDICARE RAILROAD |
| 49038 | Other | NE | BCBS |
| 90095 | Other | NE | BCBS AUXILLARY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Nebraska College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4545 S 86TH St
Lincoln, NE 68526-9262
Phone (402) 483-6990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Sun Mental Health | Current | Accepting new patients |
Locations
110 N 9th St
Beatrice, NE 68310
Phone (402) 483-6990
500 Market St
Beatrice, NE 68310
Phone (402) 474-3955
4545 S 86th St
Lincoln, NE 68526
Phone (402) 483-6990
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1164446605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5321 S 78TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166356",
"telephone_number": "402-806-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 9TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683104009",
"telephone_number": "402-483-6990",
"fax_number": "402-483-7045"
}
],
"practiceLocations": [
{
"address_1": "4545 S 86th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685269227",
"country_code": "US",
"telephone_number": "402-483-6990",
"fax_number": "402-483-7045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZLOMKE",
"first_name": "LELAND",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "245672",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00963834",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49038",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUXILLARY",
"identifier": "90095",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.