Active NPI
Jessica Krzykowski, PSYD
- Clinical Psychologist
- Omaha, NE
National Provider Identifier
1588917710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 745
- Practice address
- 2808 S 80TH Ave
Ste 110
Omaha, NE 68124-3253 - Phone
- (405) 504-3707
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 745 | NE | Primary |
Addresses
Primary practice location
2808 S 80TH Ave
Ste 110
Omaha, NE 68124-3253
Mailing address
2808 S 80TH Ave
Ste 110
Omaha, NE 68124-3253
Phone (405) 504-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1588917710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 S 80TH AVE",
"address_2": "STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243253",
"telephone_number": "405-504-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 S 80TH AVE",
"address_2": "STE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243253",
"telephone_number": "405-504-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZYKOWSKI",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.