NPIMap

Organization Active NPI

Caroline G. Sedlacek, PH.D., P.C.

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1336475656
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
43 Issued in NE
Legal business name
CAROLINE G. SEDLACEK, PH.D., P.C.
Practice address
10506 Burt Cir
Omaha, NE 68114-2094
Phone
(402) 493-4444
Fax
(402) 493-1550
NPI assigned
Oct 21, 2009
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Caroline G. Sedlacek, PH.D.NPI 1275528101
Title
Owner
Phone
(402) 493-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 43 NE Primary

Addresses

Primary practice location

10506 Burt Cir
Omaha, NE 68114-2094

Mailing address

10506 Burt Cir
Omaha, NE 68114-2094
Phone (402) 493-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1336475656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142094",
            "telephone_number": "402-493-4444",
            "fax_number": "402-493-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 BURT CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142094",
            "telephone_number": "402-493-4444",
            "fax_number": "402-493-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE G. SEDLACEK, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "SEDLACEK",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-493-4444",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.