James R Izzo, PhD
Psychologist, Clinical Child & Adolescent in Omaha, NE. Individual provider (NPI-1).
NPI number1194607697
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1194607697
- Entity type
- Individual (NPI-1)
- Name
- James R Izzo
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 1192 | NE | Yes |
| 103T00000X | Psychologist | 1192 | NE |
Practice location
1000 N 90th St Ste 200Omaha, NE 68114-2766
Phone 402-955-3900 · Fax 402-955-3920
Mailing address
Po Box 24607Omaha, NE 68124-0607
Phone 402-955-5400 · Fax 402-955-3674
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Clinical Child & Adolescent Psychologist providers in Omaha · All 40,392 providers in Omaha
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