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55 MDOS
NPI 1285624262
Psychologist - Clinical in Offutt A F B, NE

Active since October 21, 2005
55 MDOS SGO, 2501 CAPEHART RD, OFFUTT A F B, NE 68113(402) 294-7883 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 55 Mdos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

55 MDOS (NPI 1285624262) is a healthcare organization registered as a clinical in Offutt A F B, Nebraska and active in the NPI registry since October 2005. The organization lists Stephen F Hamilton, Menal Health Flight Commander, as its authorized official.

NPPES Registry Identity

NPI1285624262
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business Name55 MDOS
Location Address55 MDOS SGO, 2501 CAPEHART RDOffutt A F B, NE 68113-1712
Mailing Address55 Mdos Sgo, 2501 Capehart RdOffutt A F B, NE 68113-1712 · (402) 294-7883
Phone(402) 294-7883
Organization SubpartNo
Authorized OfficialStephen F HamiltonMenal Health Flight Commander · (402) 294-7883
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 13, 2008
✔ NPI 1285624262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OK · 679
Definition
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.
55 MDOS SGO, Offutt A F B, NE 68113
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH CLARK KOMYATHY LCSW
Social Worker (Clinical)
55 MDOS SGO, 2501 CAPEHART ROAD
OFFUTT A F B, NE 68113
Sarpy County (402) 294-7886
MR. DALE RICHARD LUSH LCSW
Social Worker (Clinical)
55 MDOS SGO, 2501 CAPEHART ROAD
OFFUTT A F B, NE 68113
Sarpy County (402) 294-7411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 55 Mdos's NPI number?

The NPI number for 55 Mdos is 1285624262. It was assigned to this organization in the NPPES registry on October 21, 2005.

Where is 55 Mdos located?

55 Mdos is located at 55 Mdos Sgo 2501 Capehart Rd, Offutt A F B, NE 68113. The listed phone number is (402) 294-7883.

What is 55 Mdos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for 55 Mdos was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.