Active NPI
Joseph L Rizzo, PH.D.
- Clinical Psychologist
- Omaha, NE
National Provider Identifier
1780640763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 12
- Practice address
- 6818 Grover St
Suite 303
Omaha, NE 68106-3640 - Phone
- (402) 397-0330
- Fax
- (402) 397-8082
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 12 | NE | Primary |
Addresses
Primary practice location
6818 Grover St
Suite 303
Omaha, NE 68106-3640
Mailing address
6818 Grover St
Suite 303
Omaha, NE 68106-3640
Phone (402) 397-0330
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-58868 | Other | NE | UNITED BEHAVIOR HEALTH NU |
| 022461 | Other | NE | VALUE OPTIONS # |
| 470608468-26 | Medicaid | NE | |
| 117183-000 | Other | NE | MAGELLAN MIS # |
| 47-0608486 | Other | NE | TRICARE PROVIDER # |
| 08021 | Other | NE | BCBS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1780640763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6818 GROVER ST",
"address_2": "SUITE 303",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063640",
"telephone_number": "402-397-0330",
"fax_number": "402-397-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6818 GROVER ST",
"address_2": "SUITE 303",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063640",
"telephone_number": "402-397-0330",
"fax_number": "402-397-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "12",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIOR HEALTH NU",
"identifier": "61-58868",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS #",
"identifier": "022461",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470608468-26",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS #",
"identifier": "117183-000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER #",
"identifier": "47-0608486",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "08021",
"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 Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.