Jennifer R Brendle, PHD
Individual provider Active NPI Clinical Psychologist · Omaha, NE
NPI 1295748986 · NPPES record last updated Mar 30, 2011
Key facts
- NPI
- 1295748986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 649 (NE)
- Practice address
- 3223 N 169TH St
Omaha, NE 68116-2650 - Phone
- (402) 980-3234
- Fax
- (402) 502-1282
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Way Therapy LLC | Past | Accepting new patients | |
| A Better Way Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 649 | NE | Yes |
Addresses
Primary practice location
3223 N 169TH St
Omaha, NE 68116-2650
Mailing address
7318 Wyoming St
Omaha, NE 68122
Phone (402) 933-1641
Other providers in Omaha, NE
- Karen L. Bremer
- Mary Elizabeth Morrison Bremer
- Brenda Jewell LLC
- Brenda McIlnay, PC
- Mary Elizabeth Brendis
- Kaliyah Sharay Brendle
- Amanda Evelyn Brennan
- Frances M Brennan
- Katie Rybak Brennan
- Marc A. Brennan
All providers in Omaha, NE · Clinical Psychologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.