NPIMap

Organization Active NPI

Cheyenne Co Dist 001, Sidney Schools

  • School Psychologist
  • Sidney, NE
National Provider Identifier
1124767413
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
CHEYENNE CO DIST 001, SIDNEY SCHOOLS
Practice address
1101 21St Ave
Sidney, NE 69162-1802
Phone
(308) 254-5855
Fax
(308) 254-5756
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Deanna Kantor
Title
Business Manager
Phone
(308) 254-5855

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X Primary
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X
Environmental Modification Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224ZE0001X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1101 21St Ave
Sidney, NE 69162-1802

Mailing address

1101 21St Ave
Sidney, NE 69162-1802
Phone (308) 254-5855

Other names 1

  • Sidney Public Schools Other name

National Provider Directory

National Provider Directory

Locations

1101 21st Ave
Sidney, NE 69162
Phone (308) 254-3642

Practitioners & affiliated clinicians

Practitioners 2

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": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1124767413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 21ST AVE",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621802",
            "telephone_number": "308-254-5855",
            "fax_number": "308-254-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 21ST AVE",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621802",
            "telephone_number": "308-254-5855",
            "fax_number": "308-254-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE CO DIST 001, SIDNEY SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "308-254-5855"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney Public Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.