| Stankus Psychological Services P.c. | |
|
1941 So 42nd St #524 Omaha NE 68105-2945 | |
| (402) 680-8214 | |
| (402) 342-9419 |
| Full Name | Stankus Psychological Services P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1941 So 42nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Joseph Conrad Stankus (DOCTOR OF PSYCHOLOGY) |
| Authorized Official Contact | 4026808214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stankus Psychological Services P.c. 1941 So 42nd St #524 Omaha NE 68102-2945 Ph: (402) 680-8214 | Stankus Psychological Services P.c. 1941 So 42nd St #524 Omaha NE 68105-2945 Ph: (402) 680-8214 |
| NPI Number | 1669621678 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 4688643380 |
|---|---|
| Medicare Enrollment ID | O20040929000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669621678 | NPI | - | NPPES |
| 10025641500 | Medicaid | NE | |
| 10025641400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 288 (Nebraska) | Primary |
| Provider Name | Joseph C Stankus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184663957 PECOS PAC ID: 3678586047 Enrollment ID: I20060801000423 |
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