VAISHALI SUBHASH PHATAK PHD
NPI 1306965769
Clinical Neuropsychologist in Omaha, NE

Q: What is Vaishali Phatak's NPI number?

The NPI number for Vaishali Phatak is 1306965769. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is Vaishali Phatak's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Vaishali Phatak was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 28, 2007PECOS Enrolled

4242 FARNAM ST STE 550, OMAHA, NE 68131(402) 559-8600(402) 559-5010 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vaishali Subhash Phatak Phd NPPES

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

VAISHALI SUBHASH PHATAK PHD (NPI 1306965769) is an individual clinical neuropsychologist in Omaha, Nebraska, licensed in Nebraska (939) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1306965769

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameVAISHALI SUBHASH PHATAKCredential: PHD

Location Address4242 FARNAM ST STE 550Omaha, NE 68131-2813

Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102

Phone(402) 559-8600

Fax(402) 559-5010

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateOctober 11, 2017

✔ NPI 1306965769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NE · 939

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 939 (NE)

4242 FARNAM ST STE 550, Omaha, NE 68131

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Secondary Practice Location 1

Location 1325 Ninth AvenueSeattle, WA 98104-2499 · Phone (206) 744-3576

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vaishali Subhash Phatak Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

BRADLEY WAYNE NIELSEN PA-C

Physician Assistant