Organization Active NPI

M. B. Psychological Services, LLC

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1174104368
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
M. B. PSYCHOLOGICAL SERVICES, LLC
Practice address
5539 S 27TH St Ste 104
Lincoln, NE 68512-1600
Phone
(402) 261-8313
Fax
(402) 939-0437
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Dr. Megan Nicole Basnett, PSYDNPI 1457768954
Title
Clinical Psychologist
Phone
(308) 627-3364

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5539 S 27TH St Ste 104
Lincoln, NE 68512-1600

Mailing address

5539 S 27TH St Ste 104
Lincoln, NE 68512-1600
Phone (402) 261-8313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002803 NE Part B Supplier - Clinic/Group Practice 2163831116 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

7115 Kentwell Ln
Ste 1
Lincoln, NE 68516
Phone (402) 413-5663

Practitioners & affiliated clinicians

Practitioners 1

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": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1174104368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 S 27TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121600",
            "telephone_number": "402-261-8313",
            "fax_number": "402-939-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 S 27TH ST STE 104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121600",
            "telephone_number": "402-261-8313",
            "fax_number": "402-939-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. B. PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "BASNETT",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "308-627-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.