DR. MARK SHRIVER (NPI# 1023193190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023193190 |
| Entity Type | Individual |
| Full Name | DR. MARK SHRIVER |
| Credential | PH.D |
| Practice Address |
985450 Nebraska Med Ctr Omaha NE 68198-5450 |
| Practice Telephone | 4025598943 |
| Mailing Telephone | 4025598943 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
412 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025287200 | 05 |
| Street Address |
985450 NEBRASKA MED CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922183284 | Judith Mathews | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1063584464 | Angela Sakaris | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-14 |
| 1437229200 | Jennifer Kronberg Haire | Physical Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-09 |
| 1831278605 | Shannon Royal | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1962581751 | Cheryl Selvy | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1245319938 | Tamara Lynn Stephens | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1407935232 | Holly A Dixon | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1730268574 | Ashley B Fecht | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1225117070 | Patricia Gromak | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
| 1740369594 | Kathleen Keller | Occupational Therapist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
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| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316022668 | Catherine Jones-hazledine | Psychologist | 985450 Nebraska Med Ct, Omaha, NE 68198-5450 | 2006-10-26 |
| 1922183284 | Judith Mathews | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1235212432 | Joseph Evans | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2006-10-23 |
| 1780809434 | William Edwin Reay | Psychologist | 5115 F Street, Omaha, NE 68117 | 2007-04-16 |
| 1750466512 | Cathleen C Piazza | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-27 |
| 1205911344 | Nancy Foster | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1750466868 | Amanda Volkmer | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1528143682 | Holly Roberts | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1396820478 | Rachel Valleley | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
| 1124103213 | William Warzak | Psychologist | 985450 Nebraska Med Ctr, Omaha, NE 68198-5450 | 2006-10-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.