Stanley R Carlock Ed D LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

602 Issued in NE

Legal business name

STANLEY R CARLOCK ED D LLC

Doing business as

Liaison Consultation & Psychotherapy

Practice address

1001 S 70TH St Ste 107
Lincoln, NE 68510-7901

Phone

(402) 483-0051

NPI assigned

Aug 6, 2016

Organization subpart

No

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

Authorized official

Name

Stanley Carlock, EDD

Title

President

Phone

(402) 483-0051

Specialties & licenses 1

Addresses

Other names 1

• Liaison Consultation & Psychotherapy Doing business as

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1811441991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-483-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 107",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-483-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY R CARLOCK ED D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CARLOCK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-483-0051",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liaison Consultation & Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Stallworth, CPSS
• Amanda Stamm, PTA
• Jill Stanard
• Kellie Stang
• Heidi Stange
• Augustine Stanley, CSS
• Hannah Kristina Stanley
• Jessica Lynn Stanley
• Julianne Laureen Stanley
• Lindsay Stanley, LMHP, BCBA, LBA

• Clinical Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.