Active NPI
Jlo Psychological Consulting PC
- Psychologist
- Lincoln, NE
National Provider Identifier
1306084876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 620
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025507100 | Medicaid | NE | |
| 81118 | Other | NE | BCBS INDIVIDUAL PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.