KALEB LONG (NPI# 1114588415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114588415 |
Entity Type | Individual |
Full Name | KALEB LONG |
Practice Address |
3700 Sheridan Blvd Lincoln NE 68506-6100 |
Mailing Address |
3700 Sheridan Blvd Ste 1 Lincoln NE 68506-6100 |
Practice Telephone | 4024891834 |
Mailing Telephone | 4024891834 |
Enumeration Date | 2019-06-26 |
Last Update Date | 2020-02-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
11913 | NE | Behavioral Health & Social Service Providers |
Street Address |
3700 SHERIDAN BLVD |
City | LINCOLN |
State | NE |
Zip Code | 68506-6100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407879810 | Rebecca S Walkowiak | Counselor | 3700 Sheridan Blvd, Ste 1, Lincoln, NE 68506-6100 | 2006-07-26 |
1316313935 | James Hernandez | Counselor | 3700 Sheridan Blvd, Lincoln, NE 68506-6100 | 2015-08-18 |
1609285931 | Cristina Villanueva | Counselor | 3700 Sheridan Blvd, Suite 1, Lincoln, NE 68506-6100 | 2014-08-12 |
1366851065 | Lucy Njeri Muturi | Psychologist | 3700 Sheridan Blvd, Suite 1, Lincoln, NE 68506-6100 | 2014-08-06 |
1295160240 | Nicholas Russell Stevens | Psychologist | 3700 Sheridan Blvd, Suite 1, Lincoln, NE 68506-6100 | 2013-09-10 |
1215369699 | Matthew J. Shanahan | Counselor | 3700 Sheridan Blvd, Ste. 1, Lincoln, NE 68506-6100 | 2013-08-07 |
1184972234 | Ashley Krienert | Counselor | 3700 Sheridan Blvd, Ste. 1, Lincoln, NE 68506-6100 | 2012-08-21 |
1699042531 | Marie Kathryn Fiala | Counselor | 3700 Sheridan Blvd, Suite 1, Lincoln, NE 68506-6100 | 2011-11-21 |
1922389899 | Marcel Andrew Lanahan | Counselor | 3700 Sheridan Blvd, Ste 1, Lincoln, NE 68506-6100 | 2011-09-06 |
1285867291 | Heather Kay Mcquillan | Counselor | 3700 Sheridan Blvd, Suite 1, Lincoln, NE 68506-6100 | 2009-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
Find all providers in zip 68506 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568018646 | Taralyn Marie Meskowsky | Psychologist | 1871 Garington Ln, Lincoln, CA 95648-7203 | 2019-08-14 |
1033600606 | Michael Alfred Raciti | Psychologist | 12 Wingate Rd, Lincoln, RI 02865-4721 | 2018-05-19 |
1396235503 | Eric A Harris | Psychologist | 138 Bedford Rd, Lincoln, MA 01773-2707 | 2018-05-14 |
1225535990 | Eckert Psychological Services | Psychologist | 8925 Foxtail Dr, Lincoln, NE 68526-9518 | 2018-04-10 |
1003331679 | Brigham S Scott | Psychologist | 1530 S 70th St Ste 102, Lincoln, NE 68506-1567 | 2017-08-04 |
1811441991 | Stanley R Carlock Ed D LLC | Psychologist | 1001 S 70th St Ste 107, Lincoln, NE 68510-7901 | 2016-08-06 |
1285005892 | Cameron White | Psychologist | 1617 Normandy Ct Ste 100, Lincoln, NE 68512-1474 | 2015-10-08 |
1366811432 | Amy L Chatelain PC | Psychologist | 2001 Pine Lake Rd, Ste 350, Lincoln, NE 68512-3651 | 2015-09-18 |
1841601119 | Cindy L. Nash, Ph.d., PC | Psychologist | 7120 S 29th St Ste 200, Lincoln, NE 68516-5802 | 2014-05-08 |
1538478789 | Myla Browne | Psychologist | Lincoln Regional Center Building 3, W. Prospector Place and Folsom St., Lincoln, NE 68509-4949 | 2010-10-05 |
Find all providers in LINCOLN |
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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.