Healthcare Provider Details

I. General information

NPI: 1780260729
Provider Name (Legal Business Name): OMAHA CENTER FOR ANXIETY MANAGEMENT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2021
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11930 ARBOR ST STE 203
OMAHA NE
68144-2998
US

IV. Provider business mailing address

11930 ARBOR ST STE 203
OMAHA NE
68144-2998
US

V. Phone/Fax

Practice location:
  • Phone: 402-503-4913
  • Fax:
Mailing address:
  • Phone: 402-503-4913
  • Fax: 402-702-0585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIN ELLEN BIEBER
Title or Position: PRESIDENT
Credential: PHD, LP
Phone: 402-503-4913