Stankus Psychological Services P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

288 Issued in NE

Legal business name

STANKUS PSYCHOLOGICAL SERVICES P.C.

Practice address

1941 So 42ND St
#524
Omaha, NE 68105-2945

Phone

(402) 680-8214

Fax

(402) 342-9419

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Conrad Stankus, PHDNPI 1184663957

Title

Doctor of Psychology

Phone

(402) 680-8214

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Stankus, PHD

  • Clinical Psychologist
  • Offutt Afb, NE
  • NPI 1184663957
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1669621678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SO 42ND ST",
            "address_2": "#524",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681022945",
            "telephone_number": "402-680-8214",
            "fax_number": "402-342-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SO 42ND ST",
            "address_2": "#524",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052945",
            "telephone_number": "402-680-8214",
            "fax_number": "402-342-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANKUS PSYCHOLOGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "STANKUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "DOCTOR OF PSYCHOLOGY",
        "authorized_official_telephone_number": "402-680-8214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025641500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025641400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Stangl
• Ajmal Stanikzai
• Farzana Stanikzai
• Amber Lynn Stanislaus
• Lisa Stanislav
• Gerard Joseph Stanley Jr., M.D.
• Andrea R Stanosheck
• Christopher A Stanosheck, DDS
• Jennifer Rae Stansbury
• Lindsey Marian Stansbury

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.