Active NPI
Jake Tooley, D.O.
- Psychiatry Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7837
- Practice address
- 985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582 - Phone
- (402) 552-6222
- NPI assigned
- Jun 29, 2016
- Last updated
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7837 | NE | Primary |
Addresses
Primary practice location
985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582
Mailing address
4696 Woolworth Ave
Omaha, NE 68106-2041
Phone (402) 321-8185
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7837 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan's Boys' Home | Current | Accepting new patients | |
| ENT Services PC | Past | Accepting new patients | |
| Father Flanagan's Boys' Home | Past | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
14092 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (531) 355-1449
Organizations & group practices 3
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.
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
-
dba Boys Town National Research Hospital
- Children's Hospital
- Omaha, NE
- NPI 1457458556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1285085365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4696 WOOLWORTH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062041",
"telephone_number": "402-321-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985582 NEBRASKA MEDICAL CTR",
"address_2": "CU DEPARTMENT OF PSYCHIATRY",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985582",
"telephone_number": "402-552-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOLEY",
"first_name": "JAKE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "7837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.