Mary Jo Hanigan M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARY JO HANIGAN M.D., P.C.

Practice address

6910 Pacific St Ste 100
Omaha, NE 68106-1044

Phone

(402) 504-3707

Fax

(402) 504-3714

NPI assigned

May 14, 2010

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jo Hanigan, M.D.NPI 1306906326

Title

M.D.

Phone

(402) 504-3707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jo Hanigan, MD

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1306906326
  Medicare reassignment Authorized official
• Mary London, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1306430533
  Medicare reassignment
• Robert William Lundholm, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
  • NPI 1356627244
  Medicare reassignment
• Sara Annette Mason, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1013573260
  Medicare reassignment

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1770801789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 PACIFIC ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061044",
            "telephone_number": "402-504-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 PACIFIC ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061044",
            "telephone_number": "402-504-3707",
            "fax_number": "402-504-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JO HANIGAN M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "HANIGAN",
        "authorized_official_first_name": "MARY  JO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "402-504-3707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marx
• James George Marx, MED MS LMHP
• Jared Tate Marx, MD
• Mary Clarys Counseling, LLC
• Mary Ellen Anderson
• Mary K. Johnson, L.M.H.P., P.C.
• Rose Mary
• Thar Mary
• Maryan Transportation LLC
• Dean Marymee

• Psychiatry Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychiatry Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.