Organization Active NPI

Kairos Psychological, P.C.

  • Psychologist
  • Omaha, NE
National Provider Identifier
1740344738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KAIROS PSYCHOLOGICAL, P.C.
Practice address
11905 Arbor St
Omaha, NE 68144-2970
Phone
(402) 330-0800
Fax
(402) 330-8873
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert G. Kraft, PH.D.
Title
Psychologist
Phone
(402) 330-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X NE Primary

Addresses

Primary practice location

11905 Arbor St
Omaha, NE 68144-2970

Mailing address

11905 Arbor St
Omaha, NE 68144-2970
Phone (402) 330-0800

Other identifiers 1

IdentifierTypeStateIssuer
07661OtherNEBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740344738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442970",
            "telephone_number": "402-330-0800",
            "fax_number": "402-330-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442970",
            "telephone_number": "402-330-0800",
            "fax_number": "402-330-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS PSYCHOLOGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-330-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07661",
            "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 Aug 22, 2020; 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.