Active NPI
Wesley Ellwyn Sime, PH.D.
- Psychologist
- Lincoln, NE
National Provider Identifier
1184732943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 367
- Practice address
- 300 S 68TH Street PL
Suite #500
Lincoln, NE 68510-2475 - Phone
- (402) 434-2730
- Fax
- (402) 434-3970
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 367 | NE | Primary |
Addresses
Primary practice location
300 S 68TH Street PL
Suite #500
Lincoln, NE 68510-2475
Mailing address
1919 South 40TH Street
Suite #335
Lincoln, NE 68506-5286
Phone (402) 420-2500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345680000 | Other | NE | MAGELLAN MIS GT SITE |
| 08057 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 132852 | Other | NE | VALUE OPTIONS # |
| 470774254-26 | Medicaid | NE | |
| 08140 | Other | NE | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Physician Group LLC | Past | Accepting new patients | |
| Affiliates in Family and Individual Growth, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Crete, NE
- NPI 1538170709
-
- Emergency Medicine Physician
- North Platte, NE
- NPI 1740465715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1184732943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 SOUTH 40TH STREET",
"address_2": "SUITE #335",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065286",
"telephone_number": "402-420-2500",
"fax_number": "402-420-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 68TH STREET PL",
"address_2": "SUITE #500",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102475",
"telephone_number": "402-434-2730",
"fax_number": "402-434-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIME",
"first_name": "WESLEY",
"middle_name": "ELLWYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS GT SITE",
"identifier": "345680000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "08057",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS #",
"identifier": "132852",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470774254-26",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "08140",
"state": "NE"
}
],
"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 Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.