Healthcare Provider Details

I. General information

NPI: 1407916521
Provider Name (Legal Business Name): ARIADNE VIGELIUS SCHEMM PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 EXECUTIVE WOODS DR STE 100
LINCOLN NE
68512-9647
US

IV. Provider business mailing address

2225 S 24TH ST
LINCOLN NE
68502-4003
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-2218
  • Fax: 402-489-3666
Mailing address:
  • Phone: 402-438-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: