NPIMap

Organization Active NPI

Thomas J. Gilligan, PH.D., P.C.

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1831335942
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
171 Issued in NE
Legal business name
THOMAS J. GILLIGAN, PH.D., P.C.
Practice address
8101 O St
Suite 214
Lincoln, NE 68510-2646
Phone
(402) 488-1032
Fax
(402) 484-8545
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Thomas J. Gilligan, PH.D.
Title
President
Phone
(402) 488-1032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 171 NE Primary

Addresses

Primary practice location

8101 O St
Suite 214
Lincoln, NE 68510-2646

Mailing address

706 Maple Dr
Eagle, NE 68347-2110
Phone (402) 781-1122

Other identifiers 1

IdentifierTypeStateIssuer
100025642000MedicaidNE

National Provider Directory

National Provider Directory

Locations

8101 O St
Ste 214
Lincoln, NE 68510
Phone (402) 488-1032

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1831335942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 MAPLE DR",
            "city": "EAGLE",
            "state": "NE",
            "postal_code": "683472110",
            "telephone_number": "402-781-1122",
            "fax_number": "402-781-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "SUITE 214",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-488-1032",
            "fax_number": "402-484-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. GILLIGAN, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-488-1032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100025642000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.