Organization Active NPI

Jlo Psychological Consulting PC

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1306084876
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
620 Issued in NE
Legal business name
JLO PSYCHOLOGICAL CONSULTING PC
Practice address
1203 High St
Lincoln, NE 68502-4560
Phone
(402) 560-3558
Fax
(402) 488-7100
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Jerry L Oestmann, PHD
Title
Owner
Phone
(402) 434-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 620 NE Primary

Addresses

Primary practice location

1203 High St
Lincoln, NE 68502-4560

Mailing address

2621 N 81St St
Lincoln, NE 68507-3347
Phone (402) 434-2730

Other identifiers 2

IdentifierTypeStateIssuer
10025507100MedicaidNE
81118OtherNEBCBS INDIVIDUAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1203 High St
Lincoln, NE 68502
Phone (402) 560-3558

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1306084876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 N 81ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685073347",
            "telephone_number": "402-434-2730",
            "fax_number": "402-488-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 HIGH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024560",
            "telephone_number": "402-560-3558",
            "fax_number": "402-488-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLO PSYCHOLOGICAL CONSULTING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "OESTMANN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-434-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025507100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER NUMBER",
            "identifier": "81118",
            "state": "NE"
        }
    ],
    "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 May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.