Active NPI
Kimberly Joy Vogel, PHD, LP
- Psychologist
- Omaha, NE
National Provider Identifier
1609201789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 882
- Practice address
- 2834 S 87TH Ave
Omaha, NE 68124-3047 - Phone
- (918) 277-2234
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 882 | NE | Primary |
Addresses
Primary practice location
2834 S 87TH Ave
Omaha, NE 68124-3047
Mailing address
13460 Walsh Dr
Boys Town, NE 68010-7529
Phone (402) 498-3358
Other practice location 1
1000 N 90th St Ste 200
Omaha, NE 68114-2766
Phone (402) 955-3900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002651100 | Medicaid | NE | |
| 47037660631 | Medicaid | NE | |
| 47037660624 | Medicaid | NE |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 882 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly Joy Psychotherapy LLC | Current | Accepting new patients | |
| Children'S Specialty Physician Billing - Behavioral Health | Psychologist | Past | Accepting new patients |
Locations
2834 S 87th Ave
Omaha, NE 68124
Phone (402) 218-1943
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
- NPI 1295598688
-
- Psychologist
- Omaha, NE
- NPI 1124152996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1609201789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 WALSH DR",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680107529",
"telephone_number": "402-498-3358",
"fax_number": "402-498-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 S 87TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243047",
"telephone_number": "918-277-2234"
}
],
"practiceLocations": [
{
"address_1": "1000 N 90th St Ste 200",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681142766",
"country_code": "US",
"telephone_number": "402-955-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGEL",
"first_name": "KIMBERLY",
"middle_name": "JOY",
"credential": "PHD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002651100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660631",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47037660624",
"state": "NE"
}
],
"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 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.