Larson Psychology Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LARSON PSYCHOLOGY SERVICES, LLC

Practice address

2730 S 87TH Ave
Omaha, NE 68124-3045

Phone

(402) 331-8085

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Bridget LarsonNPI 1194036962

Title

Owner

Phone

(402) 331-8085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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

• Bridget Larson, PH.D.

  • Psychologist
  • Offutt, NE
  • NPI 1194036962
  Medicare reassignment NPD Authorized official
• Glenda Lucille Cottam, PH.D. J.D.

  • Clinical Psychologist
  • Omaha, NE
  • NPI 1619194750
  NPD

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1902454481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S 87TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243045",
            "telephone_number": "402-331-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S 87TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243045",
            "telephone_number": "402-331-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-331-8085"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Larsen, PT, DPT
• Timothy J Larsen, MD
• Whitney Larsen, RD,LMNT
• Larson Counseling PC
• Larson Foot Clinic, P.C.
• Mary Elizabeth Larson-Brenden, FNP-BC
• Alee Maren Larson
• Alyssa Larson
• Andrea Larson
• Denise Larson, SLP

• Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.