Kearney Neuropsychological Services, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

338 Issued in NE

Legal business name

KEARNEY NEUROPSYCHOLOGICAL SERVICES, PC

Practice address

4111 4TH Ave Ste 32
Kearney, NE 68845-2884

Phone

(308) 234-6230

Fax

(308) 237-4792

NPI assigned

Apr 30, 2010

Last updated

Apr 30, 2010By 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

Dr. Ronald J. Ridder, PH.D.

Title

President

Phone

(308) 234-6230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1467779330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 4TH AVE STE 32",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452884",
            "telephone_number": "308-234-6230",
            "fax_number": "308-237-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 4TH AVE STE 32",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452884",
            "telephone_number": "308-234-6230",
            "fax_number": "308-237-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY NEUROPSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "RIDDER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-234-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.