James Noel Osullivan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12924 Issued in NE

Practice address

4102 Woolworth Ave
Douglas County Community Mental Health Center
Omaha, NE 68105-1899

Phone

(402) 444-7449

Fax

(402) 341-1851

NPI assigned

Nov 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1164601423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15664 WEBSTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182234",
            "telephone_number": "402-210-6150",
            "fax_number": "402-341-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "address_2": "DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051899",
            "telephone_number": "402-444-7449",
            "fax_number": "402-341-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSULLIVAN",
        "first_name": "JAMES",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "12924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Osterloo, PA-C
• Pamela Sue Osterman
• Becki L Osting
• Mackenzie Ann Ostlie, MD
• Kadayzha Elizabeth Ostrander
• Claudia Osuna
• Katelyn M Oswald, PAC
• Janet Otepka, MSW
• Danielle Otero-Johnson
• Christine Regina Otero, RN

• Psychiatry Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.