John W Herdman, PH.D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

424 Issued in NE

Practice address

1640 L St Ste C
Lincoln, NE 68508-2581

Phone

(402) 489-9792

Fax

(402) 489-9793

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1972688265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161276",
            "telephone_number": "402-489-9792",
            "fax_number": "402-489-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 L ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082581",
            "telephone_number": "402-489-9792",
            "fax_number": "402-489-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDMAN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "451",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NE",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081184000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08363",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo Marie Heppler, RP
• Brian Jean Herbin, PA
• Mariah Lea Herbst
• Morgan Herda
• Rosanna Herder
• Alan L Hergenrader, D.D.S.
• David Hergenrader, APRN, FNP-C
• Kessy Lee Hergenrader, M.ED., ATC, LAT
• Teresa Hergenrader
• Blessing Herman

• Cognitive & Behavioral Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Cognitive & Behavioral Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.