Organization Active NPI

Omaha Child and Adolescent Psychiatry, LLC

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1801785282
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OMAHA CHILD AND ADOLESCENT PSYCHIATRY, LLC
Practice address
11235 Davenport St Ste 101
Omaha, NE 68154-2690
Phone
(402) 251-5115
Fax
(866) 272-0225
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Dr. Joan Daughton, MDNPI 1730306549
Title
Owner
Phone
(402) 251-5115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11235 Davenport St Ste 101
Omaha, NE 68154-2690

Mailing address

11235 Davenport St Ste 101
Omaha, NE 68154-2690
Phone (402) 251-5115

Other identifiers 1

IdentifierTypeStateIssuer
10027685100MedicaidNE

National Provider Directory

National Provider Directory

Locations

11235 Davenport St
Ste 101
Omaha, NE 68154
Phone (402) 251-5115

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1801785282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "402-251-5115",
            "fax_number": "866-272-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11235 DAVENPORT ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542690",
            "telephone_number": "402-251-5115",
            "fax_number": "866-272-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CHILD AND ADOLESCENT PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "DAUGHTON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-251-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027685100",
            "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 Jul 1, 2025; 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.