DR. PAUL EDWARD MENOUSEK (NPI# 1043775885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043775885 |
| Entity Type | Individual |
| Full Name | DR. PAUL EDWARD MENOUSEK |
| Credential | PH.D. |
| Practice Address |
11717 S 216th St Gretna NE 68028-4729 |
| Practice Telephone | 4023323265 |
| Mailing Telephone | 4023323265 |
| Mailing Fax Number | 4024082534 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 100674 | NE | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
100674 | NE | Behavioral Health & Social Service Providers |
| Street Address |
11717 S 216TH ST |
| City | GRETNA |
| State | NE |
| Zip Code | 68028-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215304373 | Brenna Clarke | Speech-Language Pathologist | 11717 S 216th St, Gretna, NE 68028-4729 | 2015-08-25 |
| 1376161612 | Melanie Ruth Van Blarcom | Registered Nurse | 11717 S 216th St, Gretna, NE 68028-4729 | 2020-07-13 |
| 1912463357 | Amber Lynn Olson | Psychologist | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-11 |
| 1700342185 | Karen Wille | Psychologist | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-11 |
| 1114482015 | Denise D Osborn | Registered Nurse | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-05 |
| 1669937561 | Jackie Ann Lakers | Registered Nurse | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-05 |
| 1134684046 | Lori Kanne | Registered Nurse | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-05 |
| 1598220451 | Serina Bowen | Registered Nurse | 11717 S 216th St, Gretna, NE 68028-4729 | 2019-02-05 |
| 1780166462 | Lindsay Nicole Reuter | Speech-Language Pathologist | 11717 S 216th St, Gretna, NE 68028-4729 | 2018-08-30 |
| 1821467317 | Natalie Gregory | Speech-Language Pathologist | 11717 S 216th St, Gretna, NE 68028-4729 | 2015-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1093235012 | Harmony Rae Ames | Speech-Language Pathologist | 11705 S. 216th Street, Gretna, NE 68028 | 2017-06-21 |
| 1285003517 | Mari Monono | Speech-Language Pathologist | 11717 S. 216th St.2, Gretna, NE 68028 | 2015-09-16 |
| 1275967655 | Reichert Family Dentistry | Dentist | 11812 Standing Stone Drive, Gretna, NE 68028 | 2013-08-21 |
| 1124366851 | U-save Pharmacy Inc | Pharmacy | 611 N Highway 6, Gretna, NE 68028 | 2013-01-31 |
| 1225309115 | Gretna Volunteer Fire and Rescue Department | Ambulance | 11175 S. 204th St, Gretna, NE 68028 | 2012-01-24 |
| 1568781722 | Carrie Ann Mcgleinnaiss | Pharmacist | 11350 Wickersham Blvd, Wal-mart Pharmacy, Gretna, NE 68028 | 2010-05-26 |
| 1861657249 | Mosaic Inc | Day Training/Habilitation Specialist | 913 Village Square, Gretna, NE 68028 | 2008-07-24 |
| 1730224189 | Best In Vision | Eyewear Supplier (Equipment, not the service) | 11532 Willow Park Dr., Suite 500, Gretna, NE 68028 | 2007-02-21 |
| 1225173669 | Andria Nicole Louis | Optometrist | 11532 Willow Park Drive, Suite 500, Gretna, NE 68028 | 2007-02-21 |
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| 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 |
|---|---|---|---|---|
| 1518225259 | Christine Brown Powanda | Psychologist | 1005 Whitney Ave, Gretna, LA 70056-8050 | 2012-05-01 |
| 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 |
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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.