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

Lisa Louise Neitzke

Individual provider Behavior Analyst · NPI 1245716307

Lisa Louise Neitzke is a Clinical Psychologist in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with University of Nebraska Board of Regents, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6902 Pine St
Omaha, NE 68106-2855
Phone: (402) 559-6408
Fax: (402) 559-5737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Fort Crook Rd N Ste 204, Bellevue, NE 68005-4226 — (844) 743-6506

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 992 (NE)
Behavior Analyst Taxonomy 103K00000X · Licence 1-19-39489 (NE)

Record details

NPI number1245716307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Nebraska Board Of Regents — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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