Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremiah Ethan Fruge, PHD

Individual provider Clinical Psychologist · NPI 1740068071

Dr. Jeremiah Ethan Fruge, PHD is a Clinical Psychologist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2023.

Licensed in
NE
In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone: (800) 451-5796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1197 (NE)

Record details

NPI number1740068071
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

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