Theodore J. Delaet, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

236 Issued in NE

Legal business name

THEODORE J. DELAET, PH.D., P.C.

Practice address

11414 W Center Rd
Suite 243
Omaha, NE 68144-4486

Phone

(402) 333-8210

Fax

(402) 333-2298

NPI assigned

Aug 23, 2013

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodore James Delaet, PH.D.NPI 1861418253

Title

President

Phone

(402) 333-8210

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore James Delaet, PH.D.

  • Psychologist
  • Omaha, NE
  • NPI 1861418253
  Authorized official Same address or phone

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1396179602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 243",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-333-8210",
            "fax_number": "402-333-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD",
            "address_2": "SUITE 243",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444486",
            "telephone_number": "402-333-8210",
            "fax_number": "402-333-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J. DELAET, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DELAET",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-333-8210",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nena Theis
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• Jane M. Theobald, M.D.
• Theodore J Bolamperti, LLC
• Melissa Rose Theodoropoulos
• Theraha, LLC
• Theraplayce Children's Development Center
• Therapy Resource Associates, Inc.
• Therapy Solutions

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.