Organization Active NPI

Brenda McIlnay, PC

Doing business as Cognitive Behavioral Therapy Associates

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1073907002
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
142 Issued in NE
Legal business name
BRENDA MCILNAY, PC
Doing business as
Cognitive Behavioral Therapy Associates
Practice address
108 N. 49TH Street
Suite 208
Omaha, NE 68132-3147
Phone
(402) 889-2070
Fax
(402) 504-3369
NPI assigned
Mar 27, 2015
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Brenda Sue McIlnay, LCSW, LIMHPNPI 1891745048
Title
President
Phone
(402) 889-2070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 142 NE Primary

Addresses

Primary practice location

108 N. 49TH Street
Suite 208
Omaha, NE 68132-3147

Mailing address

108 N. 49TH Street
Suite 208
Omaha, NE 68132-3147
Phone (402) 889-2070

Other names 1

  • Cognitive Behavioral Therapy Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602002929 NE Part B Supplier - Clinic/Group Practice 5597086595 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1073907002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N. 49TH STREET",
            "address_2": "SUITE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323147",
            "telephone_number": "402-889-2070",
            "fax_number": "402-504-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N. 49TH STREET",
            "address_2": "SUITE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323147",
            "telephone_number": "402-889-2070",
            "fax_number": "402-504-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA MCILNAY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MCILNAY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-889-2070",
        "authorized_official_credential": "LCSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Behavioral Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.