SHELLY R BENSHOOF (NPI# 1689987158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689987158 |
| Entity Type | Individual |
| Full Name | SHELLY R BENSHOOF |
| Other Name | SHELLY R INGWERSON |
| Credential | PH.D. |
| Practice Address |
917 Wildwood Lane Suite 153 Nebraska City NE 68410 |
| Practice Telephone | 4022160561 |
| Practice Fax Number | 8667332530 |
| Mailing Telephone | 4022160561 |
| Mailing Fax Number | 8667332530 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
9177 | NE | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 850 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025287200 | 05 | |
| NE | 10025465700 | 05 |
| Street Address |
917 WILDWOOD LANE SUITE 153 |
| City | NEBRASKA CITY |
| State | NE |
| Zip Code | 68410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346579778 | Kvc Behavioral Healthcare Nebraska | Community/Behavioral Health | 1111 Grundman Boulevard, Nebraska City, NE 68410 | 2009-12-14 |
| 1093043655 | Jeffrey Lynn Cumro | Chiropractor | 605 1st Corso, Nebraska City, NE 68410 | 2009-11-19 |
| 1700073020 | Assisted Living Concepts Inc | Assisted Living Facility | 1500 14th Avenue, Nebraska City, NE 68410 | 2007-10-01 |
| 1396864054 | Daniel Joseph Pfeifler | Physical Therapy Assistant | 1240 N. 19th St, Nebraska City, NE 68410 | 2007-03-27 |
| 1811008188 | William Joseph Einerson | Dentist | 106 S 12th St, Nebraska City Dental PC, Nebraska City, NE 68410 | 2006-08-31 |
| 1285628297 | Paul Lloyd Salansky Jr. | Optometrist | 121 N 8th St, Nebraska City, NE 68410 | 2005-09-06 |
| 1831614783 | Mitchell Hagedorn | Physical Therapist | 1301 Grundman Blvd, Nebraska City, NE 68410 | 2017-08-11 |
| 1265988554 | Marathon Health, LLC | General Practice | 1110 Grundman Blvd, C/o Cargill Employee Health Center, Nebraska City, NE 68410 | 2016-08-28 |
| 1083084792 | Swfac Plc | Podiatrist | 1301 Grundman Blvd., Nebraska City, NE 68410 | 2015-10-07 |
| 1851594220 | Virginia Ruth Huston | Physical Therapist | 1240 N. 19th St, Nebraska City, NE 68410 | 2007-06-06 |
| Find all providers in zip 68410 | ||||
| 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 |
|---|---|---|---|---|
| 1215933007 | Carol Thurman | Psychologist | 1116 N 57th Rd, Nebraska City, NE 68410-6200 | 2005-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487180 | Mark Edward Lukin | Psychologist | 2744 Stratford Ave, Lincoln, NE 68502-4247 | 2020-08-10 |
| 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 |
| 1356822423 | Alice N Mitwaruciu | Psychologist | 620 N 48th St Ste 202, Lincoln, NE 68504-3466 | 2018-08-27 |
| 1366935256 | Ken Maguire | Psychologist | 710 Garfield St, Beatrice, NE 68310-2357 | 2018-06-14 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1689179921 | Camie L Nitzel, Phd Lp, LLC | Psychologist | 8001 S 15th Ste C, Lincoln, NE 68512-5963 | 2018-03-28 |
| 1083130165 | Jonathan Marcotte | Psychologist | 4535 Normal Blvd Ste 201, Lincoln, NE 68506-2891 | 2017-08-21 |
| 1710403423 | Kathy M Huff | Psychologist | 4740 S 45th St, Lincoln, NE 68516-1713 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | NEBRASKA CITY |
| Zip Code | 68410 |
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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.