NPIMap

Organization Active NPI

Omaha Insomnia and Psychiatric Services, LLC

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1477922318
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OMAHA INSOMNIA AND PSYCHIATRIC SERVICES, LLC
Practice address
13917 Gold Cir
Omaha, NE 68144-2359
Phone
(402) 991-9630
NPI assigned
Sep 22, 2015
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Vin Ramasamy
Title
Cfo
Phone
(402) 991-9630

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 25671 NE
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13917 Gold Cir
Omaha, NE 68144-2359

Mailing address

13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@omahainsomnia.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140408000303 NE Part B Supplier - Clinic/Group Practice 3779715651 Receives reassigned benefits from 28 practitioners
1 other NPI on this enrollment
Practice locations: Omaha, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2290785Omaha Insomnia and Psychiatric Services LLC13917 Gold Circle, Omaha, NE 68144Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

13917 Gold Cir
Ste 350B
Omaha, NE 68144

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1477922318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 GOLD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442359",
            "telephone_number": "402-991-9630",
            "fax_number": "402-502-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 GOLD CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442359",
            "telephone_number": "402-991-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA INSOMNIA AND PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "RAMASAMY",
        "authorized_official_first_name": "VIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-991-9630"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "25671",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@omahainsomnia.com",
            "affiliation": "N",
            "endpointDescription": "Secure Medical Records Communication",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "13917 Gold Cir",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681442359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.