Individual provider Active NPI

Todd Kevin McKee, PHD

  • Psychologist
  • Omaha, NE
National Provider Identifier
1841283363
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
47408220 Issued in NE
Practice address
9239 W Center Rd
Ste 211
Omaha, NE 68124-1900
Phone
(402) 399-9305
Fax
(402) 397-3191
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 47408220 NE Primary

Addresses

Primary practice location

9239 W Center Rd
Ste 211
Omaha, NE 68124-1900

Mailing address

9239 W Center Rd
Ste 211
Omaha, NE 68124-1900
Phone (402) 399-9305

Other identifiers 1

IdentifierTypeStateIssuer
08220OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000987 NE Practitioner - Clinical Psychologist 9638199045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Services PCGroup PAC ID 0941113328, 11 clinicians

Practice addresses (Care Compare)

9239 W Ctr Rd
Suite 211
Omaha, NE 68124-1900
Phone (402) 399-9305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
474NEMDMental Health Counselor
47408220NEMDPsychologist

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1841283363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-9305",
            "fax_number": "402-397-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD",
            "address_2": "STE 211",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-399-9305",
            "fax_number": "402-397-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "TODD",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "47408220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.