Provider Demographics
NPI:1306802806
Name:RIZZO & ASSOCIATES, PC
Entity type:Organization
Organization Name:RIZZO & ASSOCIATES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-397-0330
Mailing Address - Street 1:6818 GROVER ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3640
Mailing Address - Country:US
Mailing Address - Phone:402-397-0330
Mailing Address - Fax:402-397-8082
Practice Address - Street 1:6818 GROVER ST
Practice Address - Street 2:SUITE 303
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3640
Practice Address - Country:US
Practice Address - Phone:402-397-0330
Practice Address - Fax:402-397-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE01887OtherBCBS GROUP NUMBER
NE=========-26Medicaid
NE=========-26Medicaid