Individual provider Active NPI

Rodney William Kohl, PH.D.

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1619022571
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
434 Issued in NE
Practice address
1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone
(402) 420-1617
Fax
(402) 420-1619
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 434 NE Primary
Clinical Child & Adolescent Psychologist 103TC2200X 434 NE

Addresses

Primary practice location

1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474

Mailing address

1617 Normandy CT
Suite 100
Lincoln, NE 68512-1474
Phone (402) 420-1617

Other identifiers 2

IdentifierTypeStateIssuer
470817089-00MedicaidNE
08416OtherNEBCBS

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
I20080812000347 NE Practitioner - Clinical Psychologist 3173698081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1617 Normandy Court
Suite 100
Lincoln, NE 68512-1474

1617 Normandy CT
Lincoln, NE 68512-1474
Phone 4024201617206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
434NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rod W. Kohl, P.C. Clinical Child & Adolescent CurrentSince Feb 10, 1998 Accepting new patients
Russ Hansen MSPC Past Accepting new patients

Locations

1617 Normandy Ct
Ste 100
Lincoln, NE 68512
Phone (402) 420-1617

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619022571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 NORMANDY CT",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121474",
            "telephone_number": "402-420-1617",
            "fax_number": "402-420-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 NORMANDY CT",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121474",
            "telephone_number": "402-420-1617",
            "fax_number": "402-420-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHL",
        "first_name": "RODNEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "434",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NE",
            "license": "434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470817089-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08416",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.