Individual provider Active NPI

John H Wineman, PH.D.

  • Clinical Psychologist
  • Omaha, NE
National Provider Identifier
1629135074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
168 Issued in NE
Practice address
11319 P St
Suite One
Omaha, NE 68137-6302
Phone
(402) 592-0328
Fax
(402) 592-4170
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 168 NE Primary

Addresses

Primary practice location

11319 P St
Suite One
Omaha, NE 68137-6302

Mailing address

11319 P St
Suite One
Omaha, NE 68137-6302
Phone (402) 592-0328

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
168NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhaven Counseling Associates Inc Clinical Past Accepting new patients

Organizations & group practices 1

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629135074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "address_2": "SUITE ONE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302",
            "telephone_number": "402-592-0328",
            "fax_number": "402-592-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 P ST",
            "address_2": "SUITE ONE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681376302",
            "telephone_number": "402-592-0328",
            "fax_number": "402-592-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEMAN",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "168",
            "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 Jul 8, 2007; 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.