Individual provider Active NPI

Rosanna M Jones-Thurman, PH.D.

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1336150796
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
539 Issued in NE
Practice address
6790 Grover St
Suite 100
Omaha, NE 68106-3642
Phone
(402) 715-4321
Fax
(402) 715-4343
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 539 NE Primary

Addresses

Primary practice location

6790 Grover St
Suite 100
Omaha, NE 68106-3642

Mailing address

6790 Grover St
Suite #100
Omaha, NE 68106-3642
Phone (402) 715-4321

Other identifiers 3

IdentifierTypeStateIssuer
10025352700MedicaidNE
156234OtherNEVALUEOPTIONS PROVIDER ID
80016OtherNEBC BS PROVIDER NUMBER

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000472 NE Practitioner - Clinical Psychologist 6204855364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6818 Grover St
Suite 305
Omaha, NE 68106-3632
Phone (402) 715-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
539NEMDClinical Psychologist
00799IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Surgical Consultants PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1336150796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 GROVER ST",
            "address_2": "SUITE #100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063642",
            "telephone_number": "402-715-4321",
            "fax_number": "402-715-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 GROVER ST",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063642",
            "telephone_number": "402-715-4321",
            "fax_number": "402-715-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-THURMAN",
        "first_name": "ROSANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025352700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS PROVIDER ID",
            "identifier": "156234",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "80016",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.