Omaha Center for Anxiety Management, PC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

OMAHA CENTER FOR ANXIETY MANAGEMENT, PC

Practice address

11930 Arbor St Ste 203
Omaha, NE 68144-2998

Phone

(402) 503-4913

NPI assigned

Mar 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Ellen Bieber, PHD, LPNPI 1720334659

Title

President

Phone

(402) 503-4913

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Ellen Bieber, PH.D., LP

  • Psychologist
  • Boys Town, NE
  • NPI 1720334659
  NPD Authorized official

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1780260729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 ARBOR ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442998",
            "telephone_number": "402-503-4913",
            "fax_number": "402-702-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 ARBOR ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442998",
            "telephone_number": "402-503-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CENTER FOR ANXIETY MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "BIEBER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-503-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAUREN JOHNSON, PHD, LP",
            "identifier": "1629372032",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KRISTIN E BIEBER, PH.D., LP",
            "identifier": "1720334659",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.bieber@omahacam.com",
            "affiliation": "N",
            "address_1": "11930 Arbor St Ste 203",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681442998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Cognitive & Behavioral Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.