Omne Clinic, Inc.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1720 Issued in WI

Legal business name

OMNE CLINIC, INC.

Practice address

101 N. Farwell Street
Ste. 204
Eau Claire, WI 54703

Phone

(715) 514-4600

Fax

(715) 514-4008

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Anton C Smets, PH.D, PSY.D.

Title

Owner/President

Phone

(715) 514-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ECP Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1619081437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N. FARWELL STREET",
            "address_2": "STE. 204",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "telephone_number": "715-514-4600",
            "fax_number": "715-514-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N. FARWELL STREET",
            "address_2": "STE. 204",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "telephone_number": "715-514-4600",
            "fax_number": "715-514-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SMETS",
        "authorized_official_first_name": "ANTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-514-4600",
        "authorized_official_credential": "PH.D, PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WI",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412144500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Olson, DO
• Michelle Botts Olson, MD
• Nicole R Olson, CADC II
• Roy Arnold Olson, MD
• Teresa Olson, MS, CCC-SLP
• Diane Jean Omtvedt, N.P. AND L.AC.
• Bundo E Onwueme, MPH, PA-C
• Ngozi Augustina Onyishi, MD
• Morgan Opelt, DC
• Optima Health & Vitality Center

• Cognitive & Behavioral Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Cognitive & Behavioral Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.