Individual provider Active NPI

Alexandria Fladhammer

  • Clinical Child & Adolescent Psychologist
  • Hastings, NE
National Provider Identifier
1184188369
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
599 Issued in NE
Practice address
738 W 3Rd St
Hastings, NE 68901-5134
Phone
(402) 834-2438
NPI assigned
Jan 22, 2019
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 599 NE Primary

Addresses

Primary practice location

738 W 3Rd St
Hastings, NE 68901-5134

Mailing address

2115 N Kansas Ave Ste 103B
Hastings, NE 68901-2615
Phone (402) 834-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
599NEMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pediatrics, P.C. CurrentSince Oct 4, 2020 Accepting new patients
Acme Behavioral Health, P.C. PastSince Sep 5, 2023 Accepting new patients

Locations

1021 W 14th St
Hastings, NE 68901
Phone (402) 462-4466

2115 N Kansas Ave
Ste 103B
Hastings, NE 68901

738 W 3rd St
Hastings, NE 68901
Phone (402) 834-2438

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1184188369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE STE 103B",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-834-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 W 3RD ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015134",
            "telephone_number": "402-834-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLADHAMMER",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NE",
            "license": "599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.