Individual provider Active NPI

Mary Quattrocchi Legino, PH.D.

  • Psychologist
  • Omaha, NE
National Provider Identifier
1730168998
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
NE191 Issued in NE
Practice address
4917 Underwood Ave
Omaha, NE 68132-2421
Phone
(402) 556-1516
NPI assigned
Jan 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NE191 NE Primary

Addresses

Primary practice location

4917 Underwood Ave
Omaha, NE 68132-2421

Mailing address

4917 Underwood Ave
Omaha, NE 68132-2421
Phone (402) 556-1516

Other identifiers 2

IdentifierTypeStateIssuer
NE191OtherNESTATE LICENSE NUMBER
8152OtherNEBLUE CROSS PROVIDER NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
191NEMDMental Health Counselor
NE191NEMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730168998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 UNDERWOOD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322421",
            "telephone_number": "402-556-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 UNDERWOOD AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322421",
            "telephone_number": "402-556-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGINO",
        "first_name": "MARY",
        "middle_name": "QUATTROCCHI",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "NE191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "NE191",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "8152",
            "state": "NE"
        }
    ],
    "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 13, 2026; 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.