Conner Psychological Services PC
Organization Active NPI Clinical Psychologist · Omaha, NE
NPI 1740748334 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1740748334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- CONNER PSYCHOLOGICAL SERVICES PC
- Practice address
- 8710 Frederick St Ste 101
Omaha, NE 68124-3061 - Phone
- (402) 871-4474
- Fax
- (402) 998-5260
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Shari Marie Conner, PH.D.
- Title
- Licensed Psychologist
- Phone
- (402) 871-4474
Practitioners 1
-
Shari Marie Conner, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200810001903 | NE | Part B Supplier - Clinic/Group Practice | 0941625834 |
Receives reassigned benefits from 1 practitioner Practice locations: Omaha, NE |
National Provider Directory
Locations
8710 Frederick St
Ste 101
Omaha, NE 68124
Phone (402) 871-4474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
8710 Frederick St Ste 101
Omaha, NE 68124-3061
Mailing address
8710 Frederick St Ste 101
Omaha, NE 68124-3061
Phone (402) 871-4474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025097700 | Medicaid | NE |
Other providers in Omaha, NE
- Laura Connelly
- Makayla Connelly
- Mary Connelly
- Megan T Connelly
- Susan C Connelly
- Amy Conner
- Andre Conner
- Bonnie J Conner
- Carly Conner
- Laynee Ann Conner
All providers in Omaha, NE · Clinical Psychologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.