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DR. JERRY L. OESTMANN PH.D. NPI 1790858959


NPI Information

NPI: 1790858959
Provider Name: DR. JERRY L. OESTMANN, PH.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1730 DUNLAWTON AVE
SUITE 3
PORT ORANGE, FL
ZIP 32127
Phone: (386) 957-3905
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DR. Jerry L. Oestmann, PH.D. is a psychologist in Port Orange, FL with 24 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Jerry L. Oestmann, PH.D. NPI is 1790858959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1730 DUNLAWTON AVE
SUITE 3
PORT ORANGE, FL
ZIP 32127-985
Phone: (386) 957-3905
Fax: (386) 402-8992

The NPI 1790858959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 2/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health396NEBRASKANo
2101YP2500XCounselorProfessional188NEBRASKANo
3103T00000XPsychologist620NEBRASKANo
4103T00000XPsychologistPY9026FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1098935OTHERNEBRASKAMEDICARE FSI PTAN GROUP NUMBER
247052851509MEDICAIDNEBRASKA
347075636998MEDICAIDNEBRASKA
41002550710MEDICAIDNEBRASKA
5250307OTHERNEBRASKAMIDLANDS INS
647052851503MEDICAIDNEBRASKA
747075636930MEDICAIDNEBRASKA
8349507000OTHERNEBRASKAMAGELLAN MIS WOMEN'S GT
947052851500MEDICAIDNEBRASKA
1047052851504MEDICAIDNEBRASKA
1181118OTHERNEBRASKABCBS INDIVIDUAL PROVIDER NUMBER
1280023OTHERNEBRASKABLUE CROSS & BLUE SHIELD
1310025208600MEDICAIDNEBRASKA
1485731OTHERNEBRASKABCBS
1510025208000MEDICAIDNEBRASKA
1610025208700MEDICAIDNEBRASKA
1710025668200MEDICAIDNEBRASKA
18345680000OTHERNEBRASKAMAGELLAN MIS GT SITE
1947052851581MEDICAIDNEBRASKA
2068505B002OTHERNEBRASKATRICARE
21345680000OTHERNEBRASKAMAGELLAN MIS ADOL GT
2247052851502MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.