Individual provider Active NPI

Joshua Loren Needelman, PH.D.

  • Psychologist
  • Omaha, NE
National Provider Identifier
1194036079
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
810 Issued in NE
Practice address
1941 S 42ND St Ste 328
Omaha, NE 68105-2943
Phone
(402) 614-8444
Fax
(402) 614-8443
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9118 NE
Psychologist 103T00000X 810 NE Primary

Addresses

Primary practice location

1941 S 42ND St Ste 328
Omaha, NE 68105-2943

Mailing address

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (904) 605-4986

Other practice location 1

230 E 22nd St
Fremont, NE 68025-2661
Phone (402) 614-8444

Other identifiers 1

IdentifierTypeStateIssuer
10025287200MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140123000493 NE Practitioner - Clinical Psychologist 8123206737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 E 22ND St
4 Capstone Behavioral Health of NE
Fremont, NE 68025-2661
Phone (402) 727-1592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
810NEMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc CurrentSince Nov 9, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Nov 9, 2024 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

230 E 22nd St
Ste 4
Fremont, NE 68025
Phone (402) 727-1592

1941 S 42nd St
Ste 328
Omaha, NE 68105
Phone (402) 614-8444

Interoperability endpoints

  • Direct secure messaging: joshua.needelman.1@28621.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1194036079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "904-605-4986",
            "fax_number": "941-460-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S 42ND ST STE 328",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052943",
            "telephone_number": "402-614-8444",
            "fax_number": "402-614-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E 22nd St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252661",
            "country_code": "US",
            "telephone_number": "402-614-8444",
            "fax_number": "402-614-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEEDELMAN",
        "first_name": "JOSHUA",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9118",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025287200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.