Active NPI
Ranulfo Fernando Pulido Mendez, PLMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1730459728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9563
- Practice address
- 4920 S 30TH St
Suite 103
Omaha, NE 68107-1590 - Phone
- (402) 734-4110
- Fax
- (402) 991-5642
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9563 | NE | Primary |
Addresses
Primary practice location
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Mailing address
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone (402) 734-4110
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1730459728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 S 30TH ST",
"address_2": "SUITE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071590",
"telephone_number": "402-734-4110",
"fax_number": "402-991-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 S 30TH ST",
"address_2": "SUITE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071590",
"telephone_number": "402-734-4110",
"fax_number": "402-991-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULIDO MENDEZ",
"first_name": "RANULFO FERNANDO",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9563",
"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 Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.