K.R.L. PSYCHOLOGICAL SERVICES, P.C. (NPI# 1972644961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972644961 |
| Entity Type | Organization |
| Organization Name | K.R.L. PSYCHOLOGICAL SERVICES, P.C. |
| Practice Address |
15101 Bennet Rd Bennet NE 68317-2014 |
| Practice Telephone | 4024732824 |
| Practice Fax Number | 4027822283 |
| Mailing Telephone | 4024732824 |
| Mailing Fax Number | 4027822283 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH R. LIGGETT (PRESIDENT) |
| Authorized Official Telephone | 4024863011 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 112 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD | 08108 | 01 |
| Street Address |
15101 BENNET RD |
| City | BENNET |
| State | NE |
| Zip Code | 68317-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552098 | Elyse Renee Moore | Speech-Language Pathologist | 50 Dogwood St, Bennet, NE 68317-2029 | 2018-06-19 |
| 1225516123 | Jiree Wilson | Speech-Language Pathologist | 50 Dogwood St, Bennet, NE 68317-2029 | 2018-08-02 |
| 1457746778 | Meghan Moreno | Pharmacist | 15201 Roca Rd, Bennet, NE 68317-2054 | 2015-04-02 |
| 1902399595 | Aaron Martinez | Assistant Behavior Analyst | 20 Vince Dr, Bennet, NE 68317-2418 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552098 | Elyse Renee Moore | Speech-Language Pathologist | 50 Dogwood St, Bennet, NE 68317-2029 | 2018-06-19 |
| 1902399595 | Aaron Martinez | Assistant Behavior Analyst | 20 Vince Dr, Bennet, NE 68317-2418 | 2018-06-08 |
| 1457746778 | Meghan Moreno | Pharmacist | 15201 Roca Rd, Bennet, NE 68317-2054 | 2015-04-02 |
| 1225516123 | Jiree Wilson | Speech-Language Pathologist | 50 Dogwood St, Bennet, NE 68317-2029 | 2018-08-02 |
| 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 |
|---|---|---|---|---|
| 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.