TIFFANY M KODAK (NPI# 1467621425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467621425 |
Entity Type | Individual |
Full Name | TIFFANY M KODAK |
Credential | PHD |
Practice Address |
985450 Nebraska Medical Ctr Omaha NE 68198-5450 |
Practice Telephone | 4025598943 |
Mailing Telephone | 4025598943 |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
690 | NE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025287200 | 05 |
Street Address |
985450 NEBRASKA MEDICAL CTR |
City | OMAHA |
State | NE |
Zip Code | 68198-5450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235212432 | Joseph Evans | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2006-10-23 |
1174059190 | Christopher Thomas Cummings | Pediatrics | 985450 Nebraska Medical Ctr, Omaha, NE 68198-7220 | 2017-05-11 |
1053866574 | William Blake Ford | Counselor | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2016-08-25 |
1558814186 | Justine Jaimie Celoni | Counselor | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2016-08-01 |
1093180648 | Sara Klingelhoefer | Counselor | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-12-08 |
1841665437 | Chelsea Rock | Behavior Technician | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-12-08 |
1215300843 | Jordan David Lill | Counselor | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-11-04 |
1851777197 | Tuan Quoc Ho | Counselor | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-08-10 |
1588040422 | Claire Karlen | Behavioral Analyst | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-08-03 |
1629454756 | Meagan Campbell | Behavioral Analyst | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2015-07-30 |
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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 |
Find all providers in zip 68198 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891120754 | Lynne F Clure | Psychologist | 444 S 44th St, Omaha, NE 68131-3727 | 2013-09-11 |
1124284690 | Ashley C Harlow | Psychologist | 1000 N 90th St, Suite 200, Omaha, NE 68114-2764 | 2008-08-04 |
1609030501 | Jessica Lynn Pedeville | Psychologist | 1000 N 90th St, Suite 200, Omaha, NE 68114-2764 | 2008-07-10 |
1326225228 | Children's Hospital | Psychologist | 8200 Dodge Street, Children's Hospital Edp Providers, Omaha, NE 68114-4113 | 2008-01-23 |
1679639884 | Peg M Miller-evans | Psychologist | Children's Family Support Center, 8200 Dodge Street, Omaha, NE 68114-4113 | 2006-12-29 |
1518023506 | Katie E Sewell | Psychologist | 8200 Dodge St, Children's Hospital & Medical Ctr - Behavioral Health, Omaha, NE 68114-4113 | 2006-12-28 |
1992735179 | Leaann Marie Lape-brinkman | Psychologist | 12001 Q St, Omaha, NE 68137-3542 | 2006-07-04 |
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1811515026 | James K Fruehling | Psychologist | 900 W Court St, Beatrice, NE 68310-3526 | 2020-07-14 |
1184188369 | Alexandria Fladhammer | Psychologist | 738 W 3rd St, Hastings, NE 68901-5134 | 2019-01-22 |
1710460670 | Brenda Glunz | Psychologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2018-09-07 |
1033574819 | Amanda K. Schnee, Ph.d., LLC | Psychologist | 5539 S 27th St, Suite 101, Lincoln, NE 68512-1648 | 2015-12-22 |
1922463793 | Carrie Semke, LLC | Psychologist | 5539 S 27th St, Suite 101, Lincoln, NE 68512-1648 | 2015-12-22 |
1861834194 | Kimberly Marie Hill Grundman | Psychologist | 4800 Hospital Pkwy, Beatrice, NE 68310-6906 | 2013-07-29 |
1942439203 | Charles Muiu | Psychologist | 1103 Galvin Rd S, Area 'n', Bellevue, NE 68005-3002 | 2009-07-08 |
1407916521 | Ariadne Vigelius Schemm | Psychologist | 2300 S 16th St, Bryanlgh Medical Center West, Lincoln, NE 68502-3704 | 2006-12-11 |
1952488678 | Julie M Maikranz | Psychologist | 4501 S 70th St, Suite 120, Lincoln, NE 68516-4276 | 2006-11-01 |
1184706004 | Karen Ann Ellefsen | Psychologist | 2900 S 70th St, Ste 150, Lincoln, NE 68506-3688 | 2006-10-19 |
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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.