NPIMap

Organization Active NPI

Santa Monica

  • Community/Behavioral Health Agency
  • Omaha, NE
National Provider Identifier
1003010398
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SATC052 Issued in NE
Legal business name
SANTA MONICA
Practice address
130 N 39TH St
Omaha, NE 68131-2307
Phone
(402) 558-7088
Fax
(402) 558-7133
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Kay Davis, NSAP,LADC
Title
Executive Director
Phone
(402) 558-7088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SATC052 NE Primary

Addresses

Primary practice location

130 N 39TH St
Omaha, NE 68131-2307

Mailing address

130 N 39TH St
Omaha, NE 68131-2307
Phone (402) 558-7088

National Provider Directory

National Provider Directory

Locations

130 N 39th St
Omaha, NE 68131
Phone (402) 558-7088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1003010398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N 39TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312307",
            "telephone_number": "402-558-7088",
            "fax_number": "402-558-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N 39TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312307",
            "telephone_number": "402-558-7088",
            "fax_number": "402-558-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-558-7088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NSAP,LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "SATC052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.