Thomas P. Guck, PH.D.
Individual provider Active NPI Clinical Psychologist · Omaha, NE
NPI 1659480655 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1659480655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 222 (NE)
- Practice address
- 1319 Leavenworth St
Omaha, NE 68102-3215 - Phone
- (402) 280-5500
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222 | NE | MD | Athletic Trainer |
| 455 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 222 | NE | Yes |
Addresses
Primary practice location
1319 Leavenworth St
Omaha, NE 68102-3215
Mailing address
2500 California PLZ
Omaha, NE 68178-0001
Other providers in Omaha, NE
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- Christine Louise Guardiola
- Natalie Ann Guardiola
- Jonathan Matthew Gubbrud
- Cindy Gude
- Traci Dawn Gudenrath
- Will P Gudenrath
- Amber D Guderian
- Zafiro Gudino-Gutierrez
All providers in Omaha, NE · Clinical Psychologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.