NPI 1124152996 · live from the CMS NPI Registry
Children'S Specialty Physician Billing - Behavioral Health
Psychologist in Omaha, NE. National Provider Identifier 1124152996, active.
NPI record
| NPI | 1124152996 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1000 N 90th St Ste 200, Children'S Hospital & Med Center - Behavioral Health, Omaha, NE 68114 |
| Practice phone | 402-955-3900 |
| Mailing address | 8200 Dodge St, Children'S Hospital & Medical Center, Omaha, NE 68114 |
| Enumerated | March 15, 2007 |
| Last updated | October 15, 2013 |
| Authorized official | Nancy Barna, Billing Compliance Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Pediatrics | 208000000X | — |
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.