Active NPI
Lynda S Madison, PHD
- Clinical Psychologist
- Omaha, NE
National Provider Identifier
1871640128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 153
- Practice address
- 4917 Underwood Ave
Omaha, NE 68132-2421 - Phone
- (402) 740-7718
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 153 | NE | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 153 | NE |
Addresses
Primary practice location
4917 Underwood Ave
Omaha, NE 68132-2421
Mailing address
4917 Underwood Ave
Omaha, NE 68132-2421
Phone (402) 740-7718
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8129 | Other | NE | BCBS |
| 3029 | Other | MIDLANDS CHOICE | |
| 49405 | Medicaid | NE | |
| 6135830 | Other | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153 | NE | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1871640128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 UNDERWOOD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322421",
"telephone_number": "402-740-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4917 UNDERWOOD AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322421",
"telephone_number": "402-740-7718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "LYNDA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "153",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NE",
"license": "153",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8129",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3029",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49405",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6135830",
"state": null
}
],
"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 Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.