Boys Town Center For Behavioral Health | |
13460 Walsh Dr Boys Town NE 68010-7529 | |
(402) 498-3362 | |
(402) 398-3375 |
Full Name | Boys Town Center For Behavioral Health |
---|---|
Speciality | Psychologist |
Location | 13460 Walsh Dr, Boys Town, Nebraska |
Authorized Official Name and Position | Stacia J Shearman (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5313558104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boys Town Center For Behavioral Health 13460 Walsh Dr Boys Town NE 68010-7529 Ph: (531) 355-3358 | Boys Town Center For Behavioral Health 13460 Walsh Dr Boys Town NE 68010-7529 Ph: (402) 498-3362 |
NPI Number | 1265405419 |
---|---|
Provider Enumeration Date | 02/08/2006 |
Last Update Date | 03/20/2024 |
Certification Date | 03/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265405419 | NPI | - | NPPES |
100255507-00 | Medicaid | NE | |
100261374-00 | Medicaid | NE | |
100260944-00 | Medicaid | NE | |
100262511-00 | Medicaid | NE | |
100255156-00 | Medicaid | NE | |
100261397-00 | Medicaid | NE | |
100262510-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
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Father Flanagan's Boys Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14188 Mother Teresa Ln, Boys Town, NE 68010 Phone: 402-498-3025 Fax: 402-964-7150 |