DR. STACI L ROSCHE (NPI# 1669694386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669694386 |
| Entity Type | Individual |
| Full Name | DR. STACI L ROSCHE |
| Credential | M.D. |
| Practice Address |
13906 Gold Cir Ste 202 C/o Great Oaks Counseling Omaha NE 68144-2336 |
| Practice Telephone | 4029326500 |
| Practice Fax Number | 8883810698 |
| Mailing Telephone | 4026505811 |
| Mailing Fax Number | 8883810698 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9589A | WY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24516 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE | 24516 | 01 |
| Street Address |
13906 GOLD CIR STE 202 C/O GREAT OAKS COUNSELING |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699782870 | Jennifer J Daggett | Social Worker | 13906 Gold Cir Ste 202, Omaha, NE 68144-2336 | 2006-08-01 |
| 1033733761 | Mitchell Berry | Counselor | 13906 Gold Cir Ste 202, Omaha, NE 68144-2336 | 2020-05-28 |
| 1508095506 | Linda J Abalos | Counselor | 13906 Gold Cir Ste 202, Omaha, NE 68144-2336 | 2009-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320075 | Resolve Medical Billing | Psychiatry & Neurology | 5402 Northwest Dr, Omaha, NE 68104-2844 | 2019-11-11 |
| 1699255869 | Nicholas Williams | Psychiatry & Neurology | 7701 Mercy Road, Suite 601, Omaha, NE 68124 | 2018-08-17 |
| 1588158083 | Alexander Sasha Dragic | Psychiatry & Neurology | 7500 Mercy Rd Ste 601, Omaha, NE 68124-2319 | 2018-06-18 |
| 1770005613 | Larisa Akah Che | Psychiatry & Neurology | 7710 Mercy Road, Suite 202, Cu Department of Psychiatry, Omaha, NE 68124-2353 | 2017-07-12 |
| 1598286577 | Caitlyn Milone | Psychiatry & Neurology | 7710 Mercy Road, Suite 202- Cu Department of Psychiatry, Omaha, NE 68124-2353 | 2017-06-29 |
| 1700306339 | Cynthia Paul Md LLC | Psychiatry & Neurology | 900 S 74th Plz Ste 400, Omaha, NE 68114-4667 | 2017-06-24 |
| 1316493943 | Siva Sundeep Koppolu | Psychiatry & Neurology | 985582 Nebraska Medical Ctr Cu Dept of Psychiatry, Omaha, NE 68198-5582 | 2016-09-01 |
| 1164978136 | Erin Christine Ranum | Psychiatry & Neurology | 42nd & Dewey St, Omaha, NE 68198-1023 | 2016-08-30 |
| 1538574421 | Nicholas Paul Basalay | Psychiatry & Neurology | 985582 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-5582 | 2014-06-30 |
| 1043625023 | Joseph Kent | Psychiatry & Neurology | 7101 Newport Ave Dept Of, Omaha, NE 68152 | 2014-06-27 |
| Find all providers in OMAHA | ||||
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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.