Individual provider Active NPI

Natalie Stephenson Van Dusen, PSY.D.

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1346535689
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
#406- PROVISIONAL Issued in NE
Practice address
2500 California PLZ
Center for Health and Counseling
Omaha, NE 68178-0133
Phone
(402) 280-2735
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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 #406- PROVISIONAL NE Primary

Addresses

Primary practice location

2500 California PLZ
Center for Health and Counseling
Omaha, NE 68178-0133

Mailing address

10857 Arlington PLZ
Apt 1531
Omaha, NE 68164-2125
Phone (562) 242-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
#406- PROVISIONALNEMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1346535689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 ARLINGTON PLZ",
            "address_2": "APT 1531",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642125",
            "telephone_number": "562-242-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "address_2": "CENTER FOR HEALTH AND COUNSELING",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780133",
            "telephone_number": "402-280-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "NATALIE",
        "middle_name": "STEPHENSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "#406- PROVISIONAL",
            "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 Jun 15, 2011; 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.