NPI 1861264152 · live from the CMS NPI Registry
Anew Psych Services, LLC
Nurse Practitioner, Psych/Mental Health in Omaha, NE. National Provider Identifier 1861264152, active.
NPI record
| NPI | 1861264152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 11605 Miracle Hills Dr Ste 300, Omaha, NE 68154 |
| Practice phone | 402-238-1431 |
| Mailing address | 7935 N 152nd Ave, Bennington, NE 68007 |
| Enumerated | October 30, 2023 |
| Last updated | May 17, 2024 |
| Authorized official | Bonnie Rothell, NP/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Psychologist | 103T00000X | — |
| Social Worker | 104100000X | — |
| Registered Nurse | 163W00000X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | — |
| Nurse's Aide | 376K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.