NPIMap

Organization Active NPI

Jay a. Rich M.D. and Associates P.C.

  • Counselor
  • Omaha, NE
National Provider Identifier
1649304411
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
346 Issued in NE
Legal business name
JAY A. RICH M.D. AND ASSOCIATES P.C.
Practice address
11920 Burt St
Suite 165
Omaha, NE 68154-1598
Phone
(402) 431-4080
Fax
(402) 951-2747
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Jay A. Rich, M.D.
Title
President
Phone
(402) 431-4080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 346 NE Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 713 NE
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 13914 NE

Addresses

Primary practice location

11920 Burt St
Suite 165
Omaha, NE 68154-1598

Mailing address

11920 Burt St
Suite 165
Omaha, NE 68154-1598
Phone (402) 431-4080

National Provider Directory

National Provider Directory

Locations

11920 Burt St
Ste 165
Omaha, NE 68154
Phone (402) 431-4080

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1649304411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 BURT ST",
            "address_2": "SUITE 165",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541598",
            "telephone_number": "402-431-4080",
            "fax_number": "402-951-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 BURT ST",
            "address_2": "SUITE 165",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541598",
            "telephone_number": "402-431-4080",
            "fax_number": "402-951-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A. RICH M.D. AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-431-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NE",
            "license": "346",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "713",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "13914",
            "primary": false
        }
    ],
    "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 30, 2013; 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.