Individual provider Active NPI

Katherine M Doud, PHD

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1508109638
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
980 Issued in NE
Practice address
3901 Pine Lake Rd Ste 410
Lincoln, NE 68516
Phone
(402) 434-2730
Fax
(402) 434-3970
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 980 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd Ste 410
Lincoln, NE 68516

Mailing address

3901 Pine Lake Rd Ste 410
Lincoln, NE 68516-5415
Phone (402) 434-2730

Other practice location 1

9100 Andermatt Drive
Suite 1
Lincoln, NE 68526-6700
Phone (402) 434-2730 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
10026721201MedicaidNE

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
I20190604002430 NE Practitioner - Clinical Psychologist 2062792120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Loyola University of Chicago, Stritch School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morningstar Counseling and Consultation PCGroup PAC ID 8729365325, 5 clinicians

Practice addresses (Care Compare)

2641 S 70TH St
Suite a
Lincoln, NE 68506-2912
Phone (402) 327-9711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
980NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Doud Counseling LLC Current Accepting new patients
Morningstar Counseling and Consultation PC CurrentSince Jan 15, 2020 Accepting new patients
Pine Lake Behavioral Health, LLC. CurrentSince Jun 1, 2019 Accepting new patients

Locations

3901 Pine Lake Rd
Ste 410
Lincoln, NE 68516
Phone (402) 434-2730

2641 S 70th St
Ste A
Lincoln, NE 68506
Phone (402) 327-9711

9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157

1530 S 70th St
Ste 102
Lincoln, NE 68506
Phone (402) 327-9711

Organizations & group practices 3

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1508109638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165415",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 410",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Andermatt Drive",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685266700",
            "country_code": "US",
            "telephone_number": "402-434-2730 x2",
            "fax_number": "402-434-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUD",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026721201",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.