Colleen a. Conoley, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

642 Issued in NE

Legal business name

COLLEEN A. CONOLEY, P.C.

Practice address

11330 Q St Ste 232
Omaha, NE 68137-3679

Phone

(402) 597-2290

Fax

(402) 597-2345

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Colleen Conoley, PHDNPI 1275548133

Title

President

Phone

(402) 597-2290

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Adele Conoley, PH.D.

  • Clinical Neuropsychologist
  • Omaha, NE
  • NPI 1275548133
  NPD (past) Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1376871913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 Q ST STE 232",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-597-2290",
            "fax_number": "402-597-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 Q ST STE 232",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373679",
            "telephone_number": "402-597-2290",
            "fax_number": "402-597-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN A. CONOLEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "CONOLEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-597-2290",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NE",
            "license": "642",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08228",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025173700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "246811",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025420600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collaborative Care Associates PC
• William Patrick Collamer, PH D
• Bethany Collaso
• Taina Rosario Collazo, PHD, MSW
• Tito Jesus Collazo, LMSW
• Amanda Collette
• Anne Collette, DPT
• Anna Pearson Colley, MSOTR/L
• Donna M Collica
• Alicia Collicott, FNP-C

• Clinical Neuropsychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Neuropsychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.