Active NPI
Cameron White
- Clinical Psychologist
- Lincoln, NE
National Provider Identifier
1285005892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 435
- Practice address
- 1617 Normandy CT Ste 100
Lincoln, NE 68512-1474 - Phone
- (402) 420-1617
- Fax
- (402) 420-1619
- NPI assigned
- Oct 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 435 | NE | Primary |
Addresses
Primary practice location
1617 Normandy CT Ste 100
Lincoln, NE 68512-1474
Mailing address
521 Indian Rd
Lincoln, NE 68505-2608
Phone (402) 489-7089
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rod W. Kohl, P.C. | Past | Accepting new patients | |
| Russ Hansen MSPC | Past | Accepting new patients |
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.
-
- Clinical Child & Adolescent Psychologist
- Lincoln, NE
- NPI 1699938035
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1568811388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1285005892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 INDIAN RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052608",
"telephone_number": "402-489-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 NORMANDY CT STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121474",
"telephone_number": "402-420-1617",
"fax_number": "402-420-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "CAMERON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.