Kay Gustafson Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

069 Issued in NE

Legal business name

KAY GUSTAFSON PSYCHOLOGIST PC

Practice address

11414 W Center Rd
Suite 243
Omaha, NE 68144-4486

Phone

(402) 333-8210

Fax

(402) 333-2298

NPI assigned

Sep 16, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kay Marie Gustafson, PH.D.NPI 1477659290

Title

Owner

Phone

(402) 333-8210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kay Marie Gustafson, PH.D.

  • Clinical Psychologist
  • Offutt AFB, NE
  • NPI 1477659290
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1326144064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 243",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-333-8210",
            "fax_number": "402-333-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 243",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-333-8210",
            "fax_number": "402-333-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY GUSTAFSON PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-333-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080-66",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence R Kawa
• Sharilyn Jeanette Kawa, RPH
• Khan Nyuon Kawang
• Yuzuho Kawasaki
• Kay E Ticen MD
• Kay M. Shilling M.D.P.C.
• Chester Kay
• Connor Kay
• Haley M Kay
• Saw Kay

• Clinical Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.