Mary Lou Paine, PH.D., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

559 Issued in NE

Practice address

1550 S 70TH St
Suite 101
Lincoln, NE 68506-1576

Phone

(402) 488-0077

Fax

(402) 488-0017

NPI assigned

Jul 28, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicholas Giles Independent Consulting and Psychological ServicGroup PAC ID 1759810849, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicholas Giles Independent Consulting and Psychological Servic

  • Psychologist
  • Lincoln, NE
  • NPI 1649007485
  Medicare reassignment Care Compare group NPD
• Counseling Affiliates of Nebraska LLC

  • Clinical Psychologist
  • Lincoln, NE
  • NPI 1992881270
  NPD Authorized official
• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508
  NPD (past)
• Bryan Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1679528798
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043224660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077",
            "fax_number": "402-488-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061576",
            "telephone_number": "402-488-0077",
            "fax_number": "402-488-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AUXILIARY",
            "identifier": "98378",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "5156",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80077",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025451300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendal Paget
• Angelina Pagliarulo
• Kaitlyn Elizabeth Pahl
• Tyler Austin Pahl, DPT
• Paige Buresh LLC
• Kristin Painter
• Maggie Painter
• Kodjo Paintsil
• Jennifer Paiz Ramos
• Pricila Paiz

• Clinical Psychologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.