Provider Demographics
NPI:1295767044
Name:KARGES, JANE L (PSYD, PC)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:L
Last Name:KARGES
Suffix:
Gender:F
Credentials:PSYD, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 UNDERWOOD AVE
Mailing Address - Street 2:STE. 2
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-4211
Mailing Address - Country:US
Mailing Address - Phone:402-932-3476
Mailing Address - Fax:402-932-4641
Practice Address - Street 1:4915 UNDERWOOD AVE
Practice Address - Street 2:STE. 2
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-4211
Practice Address - Country:US
Practice Address - Phone:402-932-3476
Practice Address - Fax:402-932-4641
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE599103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE599OtherNE PSYC. LICENSE NO.
NE100252494-00Medicaid
NE278814Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER