Michael C Luebbert, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

567 Issued in NE

Practice address

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

Phone

(402) 333-8210

Fax

(402) 333-2298

NPI assigned

Nov 22, 2006

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

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Heartland Psychologists LLC

  • Clinical Psychologist
  • Omaha, NE
  • NPI 1265662118
  Medicare reassignment NPD Authorized official
• Samaritan Counseling Centers of the Midlands

  • Counseling Psychologist
  • Omaha, NE
  • NPI 1508911595

  Clinical

  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1548335482",
    "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": {
        "last_name": "LUEBBERT",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "08164",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025764500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Francis Ludwig
• Glennetta Ann Lue
• Luebbert Psychiatric Services Professional LLC
• Jill Luebbert, CRNA
• Meghan M Luebbert, RN
• Cody Luebke
• Dianne E Luebke, DDS
• Kendra Elizabeth Luebke
• Brent Luedders, MD
• Jennilee Luedders, MD

• 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 Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.