Michelle Rose Woidneck Kieffe, PH.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

860 Issued in NE

Practice address

11905 Arbor St.
Omaha, NE 68144-2970

Phone

(402) 281-9457

Fax

(402) 702-1244

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Rose Woidneck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Woidneck Psychological , LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1679297873
  NPD Authorized official

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1245586023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 KRUG AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242852",
            "telephone_number": "402-281-9457",
            "fax_number": "402-702-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 ARBOR ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442970",
            "telephone_number": "402-281-9457",
            "fax_number": "402-702-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFE",
        "first_name": "MICHELLE",
        "middle_name": "ROSE WOIDNECK",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WOIDNECK",
            "middle_name": "ROSE",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Maximilien Kiemde
• Tracy Kienow
• Sally Kies

• Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.