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Contact Information

CHILDREN'S SPECIALTY PHYSICIAN BILLING - BEHAVIORAL HEALTH
1000 N 90TH ST STE 200
CHILDREN'S HOSPITAL & MED CENTER - BEHAVIORAL HEALTH
OMAHA, NE68114-2766
 Phone: 402-955-3900
 Fax: 402-955-3920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHILDRENS SPECIALTY PHYSICIAN BILLING BEHAVIORAL HEALTH · (Female)

NPI # 1124152996
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2007
Last updated 10/15/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NE Medicaid 470379754-28
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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