Organization Active NPI

Menousek Psychology Consultation, LLC

  • Psychologist
  • Omaha, NE
National Provider Identifier
1629896097
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MENOUSEK PSYCHOLOGY CONSULTATION, LLC
Practice address
8790 F St Ste 111
Omaha, NE 68127-1529
Phone
(402) 704-6555
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. Kathryn Marie Menousek, PH.D.NPI 1659679850
Title
Licensed Psychologist
Phone
(402) 704-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8790 F St Ste 111
Omaha, NE 68127-1529

Mailing address

21050 George B Lake Pkwy
Elkhorn, NE 68022-4135
Phone (402) 704-6555

Other names 1

  • Menousek Psychology Consultation Doing business as

National Provider Directory

National Provider Directory

Locations

8790 F St
Ste 111
Omaha, NE 68127
Phone (402) 704-6555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1629896097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 GEORGE B LAKE PKWY",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224135",
            "telephone_number": "402-704-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 F ST STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271529",
            "telephone_number": "402-704-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOUSEK PSYCHOLOGY CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MENOUSEK",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-704-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menousek Psychology Consultation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Menousek Psychology Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2024; 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.