DR. KAREN E BAUMSTARK PH.D.
NPI 1215011143
Psychologist - Clinical in Omaha, NE
NPI Status: Active since October 25, 2006
Contact Information
11905 ARBOR ST
OMAHA, NE
ZIP 68144
Phone: (402) 330-8850
Fax: (402) 330-8873
- Individual
- Female
- Psychologist
- Clinical
- Accepts Insurance
- Opted-Out Medicare
About KAREN BAUMSTARK
This page provides the complete NPI Profile along with additional information for Karen Baumstark, a provider established in Omaha, Nebraska with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1215011143 assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 287 (NE). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1215011143
- Provider Name
- DR. KAREN E BAUMSTARK PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11905 ARBOR ST OMAHA, NE 68144
- Location Phone
- (402) 330-8850
- Location Fax
- (402) 330-8873
- Mailing Address
- 14821 MARTHA CIR OMAHA, NE 68144
- Mailing Phone
- (402) 330-0668
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Karen Baumstark assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Karen Baumstark opted out of Medicare effective on 10-02-2021 until 10-02-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 287
- License State
- NE
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 268199BA | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 47076043402 | MEDICAID (05) | NE | |
| 0554147 | MEDICAID (05) | IA | |
| 346048000 | OTHER (01) | MAGELLAN PROVIDER MIS # | |
| 08380 | OTHER (01) | BCBS PROVIDER # | |
| 143189300 | OTHER (01) | DOL OWCP |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-02-2021
Opt-Out End Date: 10-02-2025
Eligible to Order and Refer? No
Reviews for DR. KAREN E BAUMSTARK PH.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 0 | 1 | 1 | 1 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 1 | 2 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 1 + 2 + 1 + 8 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1215011143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
DR. ROBERT GLEN KRAFT PH.D.
Psychologist
11905 ARBOR ST
OMAHA, NE
ZIP 68144
DR. MARY COADY-LEEPER PH.D.
Psychologist
(Clinical)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
MS. FLORENCE HASLAM SHELSO MSW
Social Worker
(Clinical)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
MAEGEN GRAHAM
Counselor
(Mental Health)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
DOWNTOWN THERAPY INC.
Clinic/Center
(Mental Health (Including Community Mental Health Center))
11905 ARBOR ST
OMAHA, NE
ZIP 68144
A HEARTH FOR HEALING COUNSELING CTRE
Counselor
(Mental Health)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
KAIROS PSYCHOLOGICAL, P.C.
Psychologist
11905 ARBOR ST
OMAHA, NE
ZIP 68144
WRAGGE PSYCHOTHERAPY INC
Counselor
(Mental Health)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
MS. MARCIA A WRAGGE MS, MSW, LMHP
Counselor
(Mental Health)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
WRAGGE PSYCHOTHERAPY INC
Social Worker
11905 ARBOR ST
OMAHA, NE
ZIP 68144
WOIDNECK PSYCHOLOGICAL , LLC
Community/Behavioral Health
11905 ARBOR ST
OMAHA, NE
ZIP 68144
KEVIN BERRYMAN, LLC
Psychologist
(Clinical)
11905 ARBOR ST
OMAHA, NE
ZIP 68144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215011143, enumerated as an "individual" on October 25, 2006.
The provider is located at 11905 ARBOR ST OMAHA, NE 68144 and the phone number is (402) 330-8850.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medicare,. Please consult your insurance carrier or call the provider to verify.
