Active NPI
Kairos Psychological, P.C.
- Psychologist
- Omaha, NE
National Provider Identifier
1740344738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07661 | Other | NE | BCBS |
National Provider Directory
National Provider DirectoryNPI 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.