Individual provider Active NPI

Vithyalakshmi Selvaraj, M.B.B.S

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1801006325
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25671 Issued in NE
Practice address
601 N 30TH St
Suite 5800
Omaha, NE 68131-2137
Phone
(402) 280-4510
Fax
(402) 280-5792
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25671 NE Primary

Addresses

Primary practice location

601 N 30TH St
Suite 5800
Omaha, NE 68131-2137

Mailing address

7322 N 107 St
Omaha, NE 68122
Phone (402) 889-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110926000222 NE Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5698946531 Reassigns benefits to 2 organizations
I20240328001089 IA Practitioner - Psychiatry 5698946531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omaha Insomnia and Psychiatric Services, LLCGroup PAC ID 3779715651, 17 clinicians
Ven Healthcare Council Bluffs LLCGroup PAC ID 5496107955, 2 clinicians
Ven Whole Healthcare LLCGroup PAC ID 9234521980, 6 clinicians

Practice addresses (Care Compare)

13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630

29 S Main St
Council Bluffs, IA 51503-9070
Phone (712) 524-1888

7655 Archer PL
Lincoln, NE 68516-5286
Phone (402) 413-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Omaha Insomnia and Psychiatric Services, LLC Psychiatry CurrentSince Oct 30, 2013 Accepting new patients
Ven Whole Healthcare LLC CurrentSince Dec 1, 2021 Accepting new patients
Associates for Psychiatric Services PC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Ven Healthcare Council Bluffs LLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Cord Where Science Meets Connection LLC CurrentSince Mar 31, 2025 Accepting new patients
Ven Mental Health and TMS Clinic LLC Psychiatry PastSince Jul 9, 2025 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

29 S Main St
Council Bluffs, IA 51503
Phone (402) 256-7913

600 4th St
Ste 501
Sioux City, IA 51101
Phone (712) 234-0220

11414 W Center Rd
Ste 300
Omaha, NE 68144
Phone (402) 932-2296

13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630

Organizations & group practices 8

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1801006325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 N 107 ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68122",
            "telephone_number": "402-889-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "address_2": "SUITE 5800",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-4510",
            "fax_number": "402-280-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVARAJ",
        "first_name": "VITHYALAKSHMI",
        "credential": "M.B.B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "25671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.