DR. JEREMIAH ETHAN FRUGE PHD
NPI 1740068071
Psychologist - Clinical in Omaha, NE

Q: What is Jeremiah Fruge's NPI number?

The NPI number for Jeremiah Fruge is 1740068071. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Q: What is Jeremiah Fruge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Fruge was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 September 18, 2023

4101 WOOLWORTH AVE, OMAHA, NE 68105(800) 451-5796 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeremiah Ethan Fruge Phd NPPES

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

DR. JEREMIAH ETHAN FRUGE PHD (NPI 1740068071) is an individual clinical provider in Omaha, Nebraska, licensed in Nebraska (1197) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1740068071

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JEREMIAH ETHAN FRUGECredential: PHD

Location Address4101 WOOLWORTH AVEOmaha, NE 68105-1850

Mailing Address4101 Woolworth AveOmaha, NE 68105-1850

Phone(800) 451-5796

Sole ProprietorNo

Enumeration DateSeptember 18, 2023

Last NPPES UpdateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1740068071 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 NE · 1197

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.

4101 WOOLWORTH AVE, Omaha, NE 68105

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Other Providers at the Same Location NPPES 20

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

MRS. RUHIYYIH YOLAINE DEHART

Pharmacy Technician

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 955-5203

CARRIE KUBICEK RN,BSN, OCN

Registered Nurse (Infusion Therapy)

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 995-5342

DARCY RAE BOGER RN

Registered Nurse (Critical Care Medicine)

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 995-5151

MS. SHERI LYNN PLUGGE R.D.

Dietitian, Registered

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 346-8800

RUBEN DARIO PULIDO PH.D.

Psychologist

4101 WOOLWORTH AVE, MAIL CODE 116A1
OMAHA, NE 68105

Douglas County (402) 995-3490

LACEY HOBUS

Social Worker (Clinical)

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 995-3250

MADALYN JOHNSON

Physician Assistant

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 995-5253

MRS. DAWNETTE LYNN BREDBERG A-GPCNP, APRN

Nurse Practitioner (Adult Health)

4101 WOOLWORTH AVE
OMAHA, NE 68105

Douglas County (402) 995-5783

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 Jeremiah Fruge's NPI number?

The NPI number for Jeremiah Fruge is 1740068071. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Jeremiah Fruge located?

Jeremiah Fruge practices at 4101 Woolworth Ave, Omaha, NE 68105. The listed phone number is (800) 451-5796.

What is Jeremiah Fruge'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 Jeremiah Fruge was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.