Provider Demographics
NPI:1780260729
Name:OMAHA CENTER FOR ANXIETY MANAGEMENT, PC
Entity type:Organization
Organization Name:OMAHA CENTER FOR ANXIETY MANAGEMENT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:402-503-4913
Mailing Address - Street 1:11930 ARBOR ST STE 203
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2998
Mailing Address - Country:US
Mailing Address - Phone:402-503-4913
Mailing Address - Fax:402-702-0585
Practice Address - Street 1:11930 ARBOR ST STE 203
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2998
Practice Address - Country:US
Practice Address - Phone:402-503-4913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1629372032OtherLAUREN JOHNSON, PHD, LP
NE1720334659OtherKRISTIN E BIEBER, PH.D., LP