Jerry Van Winkle, PSYD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

577 Issued in NE

Legal business name

JERRY VAN WINKLE, PSYD, LLC

Practice address

2315 W 39TH St
Kearney, NE 68845-8327

Phone

(308) 224-4664

Fax

(308) 237-5581

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Alan Van Winkle, PSYD

Title

Psychologist

Phone

(308) 224-4664

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1669612503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458327",
            "telephone_number": "308-224-4664",
            "fax_number": "308-237-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458327",
            "telephone_number": "308-224-4664",
            "fax_number": "308-237-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY VAN WINKLE, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "VAN WINKLE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "308-224-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "577",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Vennell Jensen, MD
• Jerry L Jensen, PHARM D
• Shane Allen Jensen, DDS
• Wade Alexander Jensen, DC
• Richard S Jerde, MD
• JG Psychology, LLC
• Anub George John, M.D.
• Desiree John, OTR/L
• Kwang Hee Alexander Johng, CRNA
• Andrea Christine Johnson, PA-C

• Clinical Psychologist in Kearney, NE
• Providers in Kearney, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.