Individual provider Active NPI

Antoni J. S. Schutz, PSYD

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1780026682
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
891 Issued in NE
Practice address
1640 L St Ste C
Lincoln, NE 68508-2581
Phone
(402) 489-9792
Fax
(402) 489-9793
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 891 NE Primary

Addresses

Primary practice location

1640 L St Ste C
Lincoln, NE 68508-2581

Mailing address

1640 L St
Ste C
Lincoln, NE 68508-2581
Phone (402) 489-9792

Other names 1

  • Antoni J. S. Hanigan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622000940 NE Practitioner - Clinical Psychologist 2062834096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 N 8TH St
Suite 430
Lincoln, NE 68508-1359
Phone (402) 937-8570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
891NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Psychological Services, LLC CurrentSince Jul 20, 2021 Accepting new patients
John W. Herdman, PH.D., PC CurrentSince Nov 3, 2019 Accepting new patients

Locations

1640 L St
Ste C
Lincoln, NE 68508
Phone (402) 489-9792

140 N 8th St
Ste 430
Lincoln, NE 68508
Phone (402) 417-0783

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1780026682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 L ST",
            "address_2": "STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082581",
            "telephone_number": "402-489-9792",
            "fax_number": "402-489-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 L ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082581",
            "telephone_number": "402-489-9792",
            "fax_number": "402-489-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZ",
        "first_name": "ANTONI",
        "middle_name": "J. S.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONI",
            "last_name": "HANIGAN",
            "middle_name": "J. S.",
            "credential": "MA, MFS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.