Individual provider Active NPI

Kari R Perez, PHD

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1376986166
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
658 Issued in NE
Practice address
11909 Arbor St Ste E
Omaha, NE 68144-4418
Phone
(402) 957-1364
Fax
(402) 625-0853
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 658 NE Primary

Addresses

Primary practice location

11909 Arbor St Ste E
Omaha, NE 68144-4418

Mailing address

20901 Schofield Cir
Gretna, NE 68028-3979
Phone (402) 957-1364

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
I20131022002212 NE Practitioner - Clinical Psychologist 3375778608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11909 Arbor St
Suite E
Omaha, NE 68144-4418
Phone (402) 957-1364

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Family Service Current Accepting new patients
Kari R. Perez, PH.D., P.C. Clinical CurrentSince May 15, 2013 Accepting new patients
Heartland Family Service CurrentSince Oct 20, 2025 Accepting new patients
Heartland Family Service CurrentSince Oct 20, 2025 Accepting new patients

Locations

11414 W Center Rd
Ste 243
Omaha, NE 68144
Phone (402) 333-8210

4565 S 133rd St
Omaha, NE 68137
Phone (402) 590-2947

3300 N 60th St
Bldg C
Omaha, NE 68104
Phone (402) 552-7459

2101 S 42nd St
Omaha, NE 68105

11909 Arbor St
Ste E
Omaha, NE 68144
Phone (402) 333-8210

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1376986166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20901 SCHOFIELD CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680283979",
            "telephone_number": "402-957-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 ARBOR ST STE E",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444418",
            "telephone_number": "402-957-1364",
            "fax_number": "402-625-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KARI",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.