Regis Guedegbe

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

9020 Hanover St
Omaha, NE 68122-5412

Phone

(402) 953-1631

NPI assigned

Nov 16, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rejoice Developmental Disability Service LLC

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1669268306
  NPD Authorized official
• All Inclusive Community Services LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Iowa City, IA
  • NPI 1265364731
  NPD Authorized official

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1508401274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 HANOVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225412",
            "telephone_number": "402-953-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 HANOVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225412",
            "telephone_number": "402-953-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDEGBE",
        "first_name": "REGIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@@@@@@@",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9020 Hanover St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681225412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@@@",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9020 Hanover St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681225412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@@@",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9020 Hanover St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681225412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@@@@@@@",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9020 Hanover St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681225412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Traci Dawn Gudenrath
• Will P Gudenrath, DDS
• Amber D Guderian
• Zafiro Gudino-Gutierrez
• Manuel Steven Gudino, NO
• Rolande Guelmbaye
• Lauren Guenette
• Mathias Guenguere
• Brian F Guenther, D.C.
• Haligh Jo Guenther

• Intellectual & Developmental Disabilities Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Intellectual & Developmental Disabilities Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.