Paradigm Inc
Organization Active NPI Community/Behavioral Health Agency · Omaha, NE
NPI 1134534381 · NPPES record last updated Jun 26, 2014
Key facts
- NPI
- 1134534381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- PARADIGM INC
- Practice address
- 809 S 174TH St
Omaha, NE 68118-3540 - Phone
- (402) 991-8093
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
Authorized official
- Name
- John Hoffman, MSW
- Title
- Vice President
- Phone
- (402) 991-8093
Practitioners 19
-
Lindsay Brundege, LIMHP, LADC
-
Michele R Horsley, M.A.
-
Lauren Jaswal, LIMHP, LPC
-
Melissa Anne Mathis, PLMHP, PLMSW
-
Candace Kay Newland, LIMHP
-
Sparrow S Meyer, MC
-
Jayne Ferguson, PLMHP
-
Trista Hemenway, LIMHP, CMSW
-
Michael Robert Neise, PHD
-
Rebecca Vidlak, LMHP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240707000092 | NE | Part B Supplier - Clinic/Group Practice | 6103360748 |
Receives reassigned benefits from 9 practitioners Practice locations: Lincoln, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
809 S 174TH St
Omaha, NE 68118-3540
Mailing address
809 S 174TH St
Omaha, NE 68118-3540
Phone (402) 991-8093
Other providers in Omaha, NE
- Shaina Pappan
- Chloe Noelle Papproth
- Robin Joanne Paprocki
- Stephanie Paquette
- Kelli Paradew
- Paradis Practice, PC
- Mara P Paradis
- Brianne Paradise
- Paramount Integrative Psychiatric Services LLC
- Sheeva Parbhu
All providers in Omaha, NE · Community/Behavioral Health Agency in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.