Organization Active NPI

Psychologics PC

  • Health Psychologist
  • Omaha, NE
National Provider Identifier
1669794301
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
738 Issued in NE
Legal business name
PSYCHOLOGICS PC
Practice address
8011 Chicago St
Omaha, NE 68114-3533
Phone
(402) 203-9563
Fax
(402) 345-2376
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Lisa L Merrifield, PHDNPI 1558586461
Title
Provider
Phone
(402) 203-9563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X 738 NE Primary

Addresses

Primary practice location

8011 Chicago St
Omaha, NE 68114-3533

Mailing address

8011 Chicago St
Omaha, NE 68114-3533
Phone (402) 203-9563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422000759 NE Part B Supplier - Clinic/Group Practice 5991832966 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

1941 S 42nd St
Ste 539
Omaha, NE 68105
Phone (402) 345-2374

6910 Pacific St
Ste 210
Omaha, NE 68106
Phone (402) 345-2374

Practitioners & affiliated clinicians

Practitioners 2

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": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1669794301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-203-9563",
            "fax_number": "402-345-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 CHICAGO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143533",
            "telephone_number": "402-203-9563",
            "fax_number": "402-345-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MERRIFIELD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "402-203-9563",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "NE",
            "license": "738",
            "primary": true
        }
    ],
    "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 Aug 30, 2023; 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.