Individual provider Active NPI

Alexandra Munet Ginorio, PSY.D.

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1952603060
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3831 Issued in PR
Practice address
4545 S 86TH St
Lincoln, NE 68526-9227
Phone
(402) 483-6990
Fax
(402) 483-7045
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3831 PR Primary
Clinical Psychologist 103TC0700X 998 NE

Addresses

Primary practice location

4545 S 86TH St
Lincoln, NE 68526-9227

Mailing address

15835 Cottonwood St
Omaha, NE 68136-3215
Phone (787) 406-3522

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nmhc@nmhc-clinics.com Health Information Exchange (HIE) Silver Sun Mental Health

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
I20191120001543 NE Practitioner - Clinical Psychologist 2466636378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4664
Phone (402) 758-5850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3831PRMDClinical Psychologist
998NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Apr 4, 2022 Accepting new patients
Alegent Creighton Health CurrentSince Apr 4, 2022 Accepting new patients
Silver Sun Mental Health CurrentSince Oct 2, 2019 Accepting new patients
Medical Services Solutions Eai Corp Past Accepting new patients
Medical Services Solutions Le CSP Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

4545 S 86th St
Lincoln, NE 68526
Phone (402) 483-6990

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

16909 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 758-5690

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 5

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952603060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 COTTONWOOD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681363215",
            "telephone_number": "787-406-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269227",
            "telephone_number": "402-483-6990",
            "fax_number": "402-483-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNET GINORIO",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3831",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nmhc@nmhc-clinics.com",
            "affiliation": "Y",
            "affiliationName": "Silver Sun Mental Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4545 S 86th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685269227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.