Active NPI
Alice N Mitwaruciu, PHD
- Psychologist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 841
- Practice address
- 620 N 48TH St Ste 202
Lincoln, NE 68504-3466 - Phone
- (402) 489-6196
- Fax
- (402) 465-8717
- NPI assigned
- Aug 27, 2018
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 841 | NE | Primary |
Addresses
Primary practice location
620 N 48TH St Ste 202
Lincoln, NE 68504-3466
Mailing address
5800 Cornhusker Hwy
Lincoln, NE 68507-3175
Phone (402) 421-1182
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Counseling, P.C. | Single Specialty | Current | Accepting new patients |
| Unmc Physicians | Single Specialty | Current | Accepting new patients |
| Amani Psychological Services | Single Specialty | Current | Accepting new patients |
Locations
4535 Normal Blvd
Ste 212
Lincoln, NE 68506
Phone (402) 370-6472
620 N 48th St
Ste 202
Lincoln, NE 68504
Phone (402) 489-6196
804 S 52nd St
Omaha, NE 68106
Phone (402) 559-2666
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1356822423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 CORNHUSKER HWY",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685073175",
"telephone_number": "402-421-1182",
"fax_number": "402-465-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N 48TH ST STE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685043466",
"telephone_number": "402-489-6196",
"fax_number": "402-465-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITWARUCIU",
"first_name": "ALICE",
"middle_name": "N",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "841",
"primary": true
}
],
"identifiers": [],
"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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.