NPI 1497809966 · live from the CMS NPI Registry
Bryan Medical Center
Psychologist, Counseling in Lincoln, NE. National Provider Identifier 1497809966, active.
NPI record
| NPI | 1497809966 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Counseling 103TC1900X |
| Practice location | 1600 S 48th St, Lincoln, NE 68506 |
| Practice phone | 402-481-5792 |
| Enumerated | January 22, 2007 |
| Last updated | September 21, 2026 |
| Authorized official | Michael Johnston, President/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | 500001 (NE) |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 500001 (NE) |
| Psychologist, Counseling primary | 103TC1900X | 500001 (NE) |
| Social Worker, Clinical | 1041C0700X | 500001 (NE) |
| Dietitian, Registered | 133V00000X | — |
| Genetic Counselor, MS | 170300000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.