NPIMap

Organization Active NPI

Nicholas Giles Independent Consulting and Psychological Servic

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1649007485
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NICHOLAS GILES INDEPENDENT CONSULTING AND PSYCHOLOGICAL SERVIC
Practice address
1550 S 70TH St Ste 101
Lincoln, NE 68506-1576
Phone
(402) 488-0077
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Kadra Taletovic
Title
Credentialing
Phone
(402) 421-1182

Specialties & licenses 1

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

Addresses

Primary practice location

1550 S 70TH St Ste 101
Lincoln, NE 68506-1576

Mailing address

1550 S 70TH St Ste 101
Lincoln, NE 68506-1576
Phone (402) 488-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001155 NE Part B Supplier - Clinic/Group Practice 1759810849 Receives reassigned benefits from 3 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

1550 S 70th St
Lincoln, NE 68506

1550 S 70th St
Ste 101
Lincoln, NE 68506
Phone (402) 488-0077

Practitioners & affiliated clinicians

Practitioners 8

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": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1649007485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS GILES INDEPENDENT CONSULTING AND PSYCHOLOGICAL SERVIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "TALETOVIC",
        "authorized_official_first_name": "KADRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "402-421-1182"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.