THOMAS GERARD GRANDY (NPI# 1053485821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053485821 |
| Entity Type | Individual |
| Full Name | THOMAS GERARD GRANDY |
| Credential | PHD |
| Practice Address |
706 N. 129th Street Suite 114 Omaha NE 68154 |
| Mailing Address |
13414 Eagle Run Drive Omaha NE 68164 |
| Practice Telephone | 4023014587 |
| Practice Fax Number | 4024458892 |
| Mailing Telephone | 4013014587 |
| Mailing Fax Number | 4024458892 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 95 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47069167300 | 05 |
| Street Address |
706 N. 129TH STREET SUITE 114 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001925 | Katrina M Cordts | Psychologist | 110 N. 175th St. Ste 2000, Omaha, NE 68118-3515 | 2019-09-08 |
| 1780245126 | Lindy M Fields | Psychologist | 4242 Farnam St Ste 247, Omaha, NE 68131-0003 | 2019-06-26 |
| 1275095416 | Arthur Robert Andrews IIi | Psychologist | 2412 Cuming St Ste 103, Omaha, NE 68131-1602 | 2019-04-05 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1477922318 | Omaha Insomnia and Psychiatric Services, LLC | Psychologist | 13917 Gold Cir, Omaha, NE 68144-2359 | 2015-09-22 |
| 1821437443 | Stacey Lynn Delanoit | Psychologist | 11414 W Center Rd Ste 300, Omaha, NE 68144-4420 | 2013-06-17 |
| 1649523085 | Jennifer Anne Yalof | Psychologist | 42 Nd Dewey, Omaha, NE 68198-1023 | 2012-10-23 |
| 1609126960 | Heather L Jacobson | Psychologist | 4801 Underwood Ave Apt 1, Omaha, NE 68132-2439 | 2012-09-13 |
| 1245586023 | Michelle Rose Woidneck Kieffe | Psychologist | 11905 Arbor St., Omaha, NE 68144-2970 | 2012-07-30 |
| 1639486343 | Charles Drew Health Center, Inc | Psychologist | 3720 Florence Blvd, Omaha, NE 68110-1737 | 2010-09-02 |
| Find all providers in OMAHA | ||||
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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.