Provider Demographics
NPI:1235013921
Name:RAUSCH, KIMBERLY FAITH (PSYD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:FAITH
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 ARBORETUM DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-3594
Mailing Address - Country:US
Mailing Address - Phone:402-293-4188
Mailing Address - Fax:
Practice Address - Street 1:2820 ARBORETUM DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3594
Practice Address - Country:US
Practice Address - Phone:402-293-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2017001976103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty