DR. LAURA ELIZABETH REARDON (PHD) – Clinical Psychologist, NPI 1023290459

DR. LAURA ELIZABETH REARDON (PHD) is a healthcare provider. based in Omaha, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY8304 (FL). The NPI Number for DR. LAURA ELIZABETH REARDON (PHD) is 1023290459

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA ELIZABETH REARDON (PHD)
NPI
1023290459
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
27 November 2007
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173304016
Graduation Year
2009 (17 years ago)
PAC ID
9335367614
Group Practice PAC ID
7911414875
Professional Enrollment ID
I20230105002731
Address ID
TX761076524FO1660XDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

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Provider Addresses for DR. LAURA ELIZABETH REARDON (PHD)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • South 168th Avenue, Millard, Omaha, Douglas County, Nebraska, 68130, United States

    OMAHA, NE 681360001

    Phone: (402) 559-0444

    Fax: (402) 559-0445

    Type: Location

  • 1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 782365638

    Phone:

    Type: Mailing

  • 2501 CAPEHART RD

    OFFUTT AFB, NE 681131043

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230105002731IPsychologist Billing IndependentlyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911414875View full group profile
NameSpecialtyState
Clinical PsychologistFL

Reviews

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Frequently asked questions

What NPI should I save for DR. LAURA ELIZABETH REARDON (PHD)?
Save NPI 1023290459 if you need a stable reference for DR. LAURA ELIZABETH REARDON (PHD).
Is DR. LAURA ELIZABETH REARDON (PHD) currently active in the NPI registry?
CMS-published data lists DR. LAURA ELIZABETH REARDON (PHD) as an active registrant.
Does DR. LAURA ELIZABETH REARDON (PHD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. LAURA ELIZABETH REARDON (PHD). Clinical services aligned with this taxonomy classification.
Where is DR. LAURA ELIZABETH REARDON (PHD)'s primary listing?
We display Omaha, Nebraska because that is what the record indicates for DR. LAURA ELIZABETH REARDON (PHD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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