JOHN W HERDMAN (NPI# 1972688265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972688265 |
Entity Type | Individual |
Full Name | JOHN W HERDMAN |
Credential | PH.D |
Practice Address |
1640 L St Ste C Lincoln NE 68508-2581 |
Mailing Address |
4706 S 48th St Lincoln NE 68516-1276 |
Practice Telephone | 4024899792 |
Practice Fax Number | 4024899793 |
Mailing Telephone | 4024899792 |
Mailing Fax Number | 4024899793 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2019-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
451 | NE | Behavioral Health & Social Service Providers |
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
424 | NE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BLUE CROSS BLUE SHIELD | 08363 | 01 |
NE | 47081184000 | 05 |
Street Address |
1640 L ST STE C |
City | LINCOLN |
State | NE |
Zip Code | 68508-2581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790867984 | Parallels, Inc | Counselor | 1640 L St Ste C, Lincoln, NE 68508-2581 | 2006-10-19 |
1598323545 | Audrey Irene Cornish | Counselor | 1640 L St Ste C, Lincoln, NE 68508-2581 | 2019-06-04 |
1952766313 | Rachel A Denney | Counselor | 1640 L St Ste C, Lincoln, NE 68508 | 2015-12-29 |
1780026682 | Antoni J. S. Schutz | Psychologist | 1640 L St Ste C, Lincoln, NE 68508-2581 | 2013-07-22 |
1831388826 | John W. Herdman, Ph.d., PC | Psychologist | 1640 L St Ste C, Lincoln, NE 68508-2581 | 2007-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
1518364348 | Jairrion Raino | Social Worker | 1000 South 13th Street, Lincoln, NE 68508 | 2014-11-21 |
1518204536 | Robert Scott Fox | Clinic/Center | 110 Q St., Lincoln, NE 68508 | 2013-01-10 |
1033418355 | Kimberly Marie Widicker-densberger | Social Worker | 1005 O Street, Suite 300, Lincoln, NE 68508 | 2011-03-25 |
1578797064 | Amber N Waddell | Substance Abuse Rehabilitation Facility | 721 J St, Lincoln, NE 68508 | 2009-05-12 |
1396803490 | Bright Smile Dental | Dentist | 140 So 16th Street, Lincoln, NE 68508 | 2006-12-04 |
1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
1366933624 | Leslie Delong, Phd, P.C. | Psychologist | 650 J St Ste 201, Lincoln, NE 68508 | 2018-05-22 |
1285153734 | Sara Qadi | Dentist | 4000 E Campus Loop, Lincoln, NE 68508 | 2017-09-15 |
1477070415 | Denise J Barrow | Counselor | 815 K St, Lincoln, NE 68508 | 2017-08-29 |
Find all providers in zip 68508 |
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 |
---|---|---|---|---|
1427350768 | Jenni Bruning Brown | Psychologist | 2885 Laurel St, Lincoln, NE 68502-5145 | 2010-11-18 |
1023139227 | Daniel Lee Fudge | Psychologist | 4706 S 48th St, Lincoln, NE 68516-1276 | 2007-04-03 |
1699938035 | Rod W. Kohl, P.C. | Psychologist | 1617 Normandy Ct, Suite 100, Lincoln, NE 68512-1474 | 2008-07-07 |
1497809966 | Bryan Medical Center | Psychologist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2007-01-22 |
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 |
1023193190 | Mark Shriver | 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 |
Find all providers with the same taxonomy |
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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.