Individual provider Active NPI

Alice N Mitwaruciu, PHD

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1356822423
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
841 Issued in NE
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212000937 NE Practitioner - Clinical Psychologist 0244574606 Reassigns benefits to 2 organizations
Practice locations: Lincoln, NE

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Counseling, P.C. Single Specialty CurrentSince Nov 4, 2018 Accepting new patients
Unmc Physicians Single Specialty CurrentSince Nov 8, 2022 Accepting new patients
Amani Psychological Services Single Specialty CurrentSince May 3, 2022 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

Verify at the official NPI Registry.